Organization Active NPI

Nooshin Zolfaghari D.P.M., P.a.

  • Foot & Ankle Surgery Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1841588779
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3442 Issued in FL
Legal business name
NOOSHIN ZOLFAGHARI D.P.M., P.A.
Practice address
2699 Stirling Rd
Suite a
Fort Lauderdale, FL 33312-6517
Phone
(954) 278-3890
Fax
(954) 251-1470
NPI assigned
Jul 12, 2011
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Nooshin Zolfaghari, DPMNPI 1104121870
Title
Podiatrist
Phone
(786) 942-1283

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
Foot & Ankle Surgery Podiatrist 213ES0103X 3442 FL Primary

Addresses

Primary practice location

2699 Stirling Rd
Suite a
Fort Lauderdale, FL 33312-6517

Mailing address

14730 SW 4TH St
Pembroke Pines, FL 33027-6107
Phone (786) 942-1283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000711 FL Part B Supplier - Clinic/Group Practice 9638346497 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Miami, FL; Ft Lauderdale, FL; Aventura, FL

National Provider Directory

National Provider Directory

Locations

2699 Stirling Rd
Ste A
Fort Lauderdale, FL 33312
Phone (954) 278-3890

2699 Stirling Rd
Ste A301
Ft Lauderdale, FL 33312
Phone (786) 942-1283

Networks

  • HealthSun Health Plans Network

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": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1841588779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 SW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276107",
            "telephone_number": "786-942-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-278-3890",
            "fax_number": "954-251-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOOSHIN ZOLFAGHARI D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "ZOLFAGHARI",
        "authorized_official_first_name": "NOOSHIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "786-942-1283",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.