Organization Active NPI

Claudia Fernandez MD PA

  • Pediatric Pulmonology Physician
  • Pembroke Pines, FL
National Provider Identifier
1740799683
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME112453 Issued in FL
Legal business name
CLAUDIA FERNANDEZ MD PA
Practice address
2301 N University Dr Ste 107
Pembroke Pines, FL 33024-3617
Phone
(954) 332-9400
Fax
(954) 400-5479
NPI assigned
Sep 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Dr. Claudia Fernandez, MDNPI 1629283460
Title
Physician
Phone
(347) 579-5117

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
Pediatric Pulmonology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0214X ME112453 FL Primary

Addresses

Primary practice location

2301 N University Dr Ste 107
Pembroke Pines, FL 33024-3617

Mailing address

5630 SW 163Rd Ave
Southwest Ranches, FL 33331-1446

Other practice location 1

12741 Miramar Pkwy Ste 204
Miramar, FL 33027-2905
Phone (954) 332-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910000866 FL Part B Supplier - Clinic/Group Practice 9335491323 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL; Miami Lakes, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18527/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1740799683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 SW 163RD AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N UNIVERSITY DR STE 107",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243617",
            "telephone_number": "954-332-9400",
            "fax_number": "954-400-5479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12741 Miramar Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330272905",
            "country_code": "US",
            "telephone_number": "954-332-9400",
            "fax_number": "954-400-5479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLAUDIA FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "347-579-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME112453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.