Organization Active NPI

Tarj Medical Center

  • Primary Care Clinic/Center
  • Margate, FL
National Provider Identifier
1710442009
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TARJ MEDICAL CENTER
Practice address
175 South Sr 7
Margate, FL 33068
Phone
(954) 586-4349
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Rosenique Duverna, ARNPNPI 1285119859
Title
Arnp
Phone
(954) 529-6157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

175 South Sr 7
Margate, FL 33068

Mailing address

1440 Coral Ridge Dr Ste 287
Coral Springs, FL 33071-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217002373 FL Part B Supplier - Clinic/Group Practice 6507293313 Receives reassigned benefits from 2 practitioners
Practice locations: Margate, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1710442009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CORAL RIDGE DR STE 287",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SOUTH SR 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33068",
            "telephone_number": "954-586-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARJ MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "DUVERNA",
        "authorized_official_first_name": "ROSENIQUE",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "954-529-6157",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.