NPIMap

Organization Active NPI

Assaf, Inc

  • Dentist
  • Palm Bay, FL
National Provider Identifier
1770827834
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASSAF, INC
Practice address
6050 Babcock St SE Ste 2
Palm Bay, FL 32909-4203
Phone
(321) 725-9946
Fax
(321) 951-7389
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Wasim Michael AssafNPI 1518048065
Title
President
Phone
(321) 725-9946

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6050 Babcock St SE Ste 2
Palm Bay, FL 32909-4203

Mailing address

6050 Babcock St SE Ste 2
Palm Bay, FL 32909-4203
Phone (321) 725-9946

Other practice location 1

1325 Pine St Ste 103
Melbourne, FL 32901-3189
Phone (321) 724-4520

National Provider Directory

National Provider Directory

Locations

6050 Babcock St SE
Ste 2
Palm Bay, FL 32909
Phone (321) 725-9946

Practitioners & affiliated clinicians

Practitioners 5

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": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1770827834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 BABCOCK ST SE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094203",
            "telephone_number": "321-725-9946",
            "fax_number": "321-951-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BABCOCK ST SE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094203",
            "telephone_number": "321-725-9946",
            "fax_number": "321-951-7389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Pine St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013189",
            "country_code": "US",
            "telephone_number": "321-724-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSAF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "ASSAF",
        "authorized_official_first_name": "WASIM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-725-9946"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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 Sep 12, 2019; 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.