Active NPI
Amicus Physician Services, Inc.
- Internal Medicine Physician
- Palm Bay, FL
National Provider Identifier
1740726116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AMICUS PHYSICIAN SERVICES, INC.
- Practice address
- 175 Villa Nueva Ave NE
Palm Bay, FL 32907-2595 - Phone
- (321) 952-1818
- NPI assigned
- Jan 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zafar Sharar, MD
- Title
- Owner
- Phone
- (772) 480-0802
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
175 Villa Nueva Ave NE
Palm Bay, FL 32907-2595
Mailing address
PO Box 1983
Dalton, GA 30722-1983
Phone (706) 271-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Palm Bay, FL
- NPI 1144376898
-
- Gerontology Nurse Practitioner
- Melbourne, FL
- NPI 1770181182
-
- Family Nurse Practitioner
- Palm Bay, FL
- NPI 1588089098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484006400000",
"number": "1740726116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1983",
"city": "DALTON",
"state": "GA",
"postal_code": "307221983",
"telephone_number": "706-271-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 VILLA NUEVA AVE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072595",
"telephone_number": "321-952-1818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMICUS PHYSICIAN SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A",
"authorized_official_last_name": "SHARAR",
"authorized_official_first_name": "ZAFAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-480-0802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.