Individual provider Active NPI

Safieh Javid, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1730179672
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1563652 Issued in FL
Practice address
8890 W Oakland Park Blvd
Suite 102
Sunrise, FL 33351-7235
Phone
(954) 742-3536
Fax
(954) 742-3740
NPI assigned
Oct 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1563652 FL Primary

Addresses

Primary practice location

8890 W Oakland Park Blvd
Suite 102
Sunrise, FL 33351-7235

Mailing address

8890 W Oakland Park Blvd
Suite 102
Sunrise, FL 33351-7235
Phone (954) 742-3536

Other identifiers 1

IdentifierTypeStateIssuer
301919500MedicaidFL

Other names 1

  • Safieh Javid Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000120 FL Practitioner - Nurse Practitioner 9335048362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1563652FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Behavorial Health Services LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

8890 W Oakland Park Blvd
Ste 102
Sunrise, FL 33351
Phone (888) 413-9378

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1730179672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD",
            "address_2": "SUITE 102",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517235",
            "telephone_number": "954-742-3536",
            "fax_number": "954-742-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD",
            "address_2": "SUITE 102",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517235",
            "telephone_number": "954-742-3536",
            "fax_number": "954-742-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVID",
        "first_name": "SAFIEH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-23",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "1563652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301919500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAFIEH",
            "last_name": "JAVID",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.