Individual provider Active NPI

Faisal Mohammed Ghaffar, APRN

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1750845152
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001212 Issued in FL
Practice address
8050 N University Dr Ste 201
Tamarac, FL 33321-2102
Phone
(954) 240-9500
NPI assigned
Jan 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11001212 FL Primary

Addresses

Primary practice location

8050 N University Dr Ste 201
Tamarac, FL 33321-2102

Mailing address

9406 NW 73Rd St
Tamarac, FL 33321-3023
Phone (305) 978-0148

Other identifiers 1

IdentifierTypeStateIssuer
11001212OtherFLBOARD OF NURSING (APRN)

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
I20190729000506 FL Practitioner - Nurse Practitioner 6204162332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (954) 735-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11001212FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Paragon Contracting Services LLC Multi-Specialty CurrentSince Jun 27, 2022 Accepting new patients
Mohammad J Latif-Jangda M D P a Multi-Specialty CurrentSince Feb 1, 2019 Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

8050 N University Dr
Ste 201
Tamarac, FL 33321
Phone (954) 532-2920

Interoperability endpoints

  • Direct secure messaging: faisal.ghaffar.1@14931.direct.athenahealth.com

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1750845152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 NW 73RD ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213023",
            "telephone_number": "305-978-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR STE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212102",
            "telephone_number": "954-240-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFAR",
        "first_name": "FAISAL",
        "middle_name": "MOHAMMED",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING (APRN)",
            "identifier": "11001212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.