Organization Active NPI

Happy Kids Pediatric Clinic PA

  • Pediatrics Physician
  • Margate, FL
National Provider Identifier
1760960819
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
116888 Issued in FL
Legal business name
HAPPY KIDS PEDIATRIC CLINIC PA
Practice address
5640 W Atlantic Blvd
Margate, FL 33063-4523
Phone
(954) 657-8060
Fax
(866) 525-2237
NPI assigned
Jul 31, 2018
Last updated
Mar 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Authorized official

Name
Dr. Carmen Rafaela Mejia-Carvajal, MDNPI 1043233463
Title
Pediatrician
Phone
(954) 716-9728

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 116888 FL Primary

Addresses

Primary practice location

5640 W Atlantic Blvd
Margate, FL 33063-4523

Mailing address

1228 Golden Cane Dr
Weston, FL 33327-2423
Phone (787) 431-0919

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2156539Happy Kids Pediatric Clinic of Broward, LLC5640 W Atlantic Blvd Unit 1, Margate, FL 33063Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1760960819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 GOLDEN CANE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272423",
            "telephone_number": "787-431-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330634523",
            "telephone_number": "954-657-8060",
            "fax_number": "866-525-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY KIDS PEDIATRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "MEJIA-CARVAJAL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "RAFAELA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "954-716-9728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "116888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.