Organization Active NPI

Naseri Medical Services, Inc

  • Otolaryngology Physician
  • Jacksonville, FL
National Provider Identifier
1851837728
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME105498 Issued in FL
Legal business name
NASERI MEDICAL SERVICES, INC
Practice address
6817 Southpoint Pkwy Ste 502
Jacksonville, FL 32216-6289
Phone
(904) 595-7475
Fax
(904) 595-7480
NPI assigned
Jan 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Dr. Iman Naseri, MD
Title
Physician
Phone
(904) 595-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME105498 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 502
Jacksonville, FL 32216-6289

Mailing address

6817 Southpoint Pkwy Ste 502
Jacksonville, FL 32216-6289
Phone (904) 595-7475

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1851837728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 502",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166289",
            "telephone_number": "904-595-7475",
            "fax_number": "904-595-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 502",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166289",
            "telephone_number": "904-595-7475",
            "fax_number": "904-595-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASERI MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "NASERI",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-595-7475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME105498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.