Dr Mae Sheikh Ali Endocrine Center LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DR MAE SHEIKH ALI ENDOCRINE CENTER LLC

Practice address

3627 University Blvd S Ste 310
Jacksonville, FL 32216-4294

Phone

(610) 529-4165

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Mae Sheikh Ali, MDNPI 1164405122

Title

Owner

Phone

(610) 529-4165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICADDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mae Sheikh-Ali, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Jacksonville, FL
  • NPI 1164405122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1801675186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14286 BEACH BLVD",
            "address_2": "STE 19 BOX 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "610-529-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164294",
            "telephone_number": "610-529-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAE SHEIKH ALI ENDOCRINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SHEIKH ALI",
        "authorized_official_first_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-529-4165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.