Organization Active NPI

Mohammad T Javed, Mdpa

  • Primary Care Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1760958946
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOHAMMAD T JAVED, MDPA
Practice address
6169 S Jog Rd Ste B4
Lake Worth, FL 33467-6514
Phone
(561) 249-6959
Fax
(561) 268-2133
NPI assigned
Oct 16, 2018
Organization subpart
Yes
Parent organization
MOHAMMAD T JAVED, MDPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Mohammad T Javed, MDNPI 1730125170
Title
Owner
Phone
(561) 204-5111

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6169 S Jog Rd Ste B4
Lake Worth, FL 33467-6514

Mailing address

11476 Okeechobee Blvd
Royal Palm Beach, FL 33411-8715
Phone (561) 204-5111

Other identifiers 1

IdentifierTypeStateIssuer
269144200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Mohammad T Javed MD PA3 organizations share this tax ID, including this one
Part of
Mohammad T Javed MD PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1760958946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118715",
            "telephone_number": "561-204-5111",
            "fax_number": "561-204-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S JOG RD STE B4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676514",
            "telephone_number": "561-249-6959",
            "fax_number": "561-268-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD T JAVED, MDPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAMMAD T JAVED, MDPA",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-204-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269144200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.