NPIMap

Organization Active NPI

Swallowing Diagnostics Inc

  • Internal Medicine Physician
  • Parkland, FL
National Provider Identifier
1710954672
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SWALLOWING DIAGNOSTICS INC
Practice address
6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone
(954) 578-4000
Fax
(954) 578-4948
NPI assigned
Mar 1, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Ms. Stacy L Tarakofsky
Title
Vice President
Phone
(954) 578-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FL Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X FL

Addresses

Primary practice location

6093 NW 62ND Ter
Parkland, FL 33067-1538

Mailing address

6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone (954) 578-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050825000807 FL Part B Supplier - Clinic/Group Practice 0244261683 Receives reassigned benefits from 32 practitioners
Practice locations: Parkland, FL

National Provider Directory

National Provider Directory

Locations

7522 Wiles Rd
Ste 207
Coral Springs, FL 33067
Phone (954) 227-8255

4486 N University Dr
Lauderhill, FL 33351
Phone (954) 578-4000

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1710954672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "954-578-4000",
            "fax_number": "954-578-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "954-578-4000",
            "fax_number": "954-578-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWALLOWING DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "TARAKOFSKY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-578-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.