Organization Active NPI

Kidz-in Pediatrics

  • Pediatrics Physician
  • Lighthouse Point, FL
National Provider Identifier
1720293822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 77924 Issued in FL
Legal business name
KIDZ-IN PEDIATRICS
Practice address
3170 N Federal Hwy
Suite 214
Lighthouse Point, FL 33064-6700
Phone
(954) 786-2200
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rogerio Serrano Faillace, M.D.
Title
Doctor
Phone
(954) 786-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 77924 FL Primary

Addresses

Primary practice location

3170 N Federal Hwy
Suite 214
Lighthouse Point, FL 33064-6700

Mailing address

5042 Southwest 173Rd Avenue
Miramar, FL 33029
Phone (954) 786-2200

National Provider Directory

National Provider Directory

Locations

3170 N Federal Hwy
Ste 214
Pompano Beach, FL 33064
Phone (954) 786-2200

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720293822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 SOUTHWEST 173RD AVENUE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-786-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 214",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-786-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ-IN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAILLACE",
        "authorized_official_first_name": "ROGERIO",
        "authorized_official_middle_name": "SERRANO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-786-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 77924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.