Organization Active NPI

Ira R. Lefkof, M.D., P.a.

  • Specialist
  • Hollywood, FL
National Provider Identifier
1700155264
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0035862 Issued in FL
Legal business name
IRA R. LEFKOF, M.D., P.A.
Practice address
1150 N 35TH Ave
525
Hollywood, FL 33021-5424
Phone
(954) 966-6630
Fax
(954) 966-6102
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ira R Lefkof, M.D.
Title
Physician
Phone
(954) 966-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0035862 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
525
Hollywood, FL 33021-5424

Mailing address

1150 N 35TH Ave
525
Hollywood, FL 33021-5424
Phone (954) 966-6630

Other identifiers 1

IdentifierTypeStateIssuer
370321500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1150 N 35th Ave
Ste 525
Hollywood, FL 33021
Phone (954) 265-1260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1700155264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "525",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-966-6630",
            "fax_number": "954-966-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "525",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-966-6630",
            "fax_number": "954-966-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA R. LEFKOF, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "LEFKOF",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-966-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0035862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370321500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.