Organization Active NPI

Shlomo Pascal MD PA

  • Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1861681694
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHLOMO PASCAL MD PA
Practice address
1711 NW 123 Avenue
Pembroke Pines, FL 33026-3824
Phone
(954) 436-0136
Fax
(954) 447-9245
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Shlomo Pascal, MD.
Title
Owner
Phone
(954) 436-0136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1711 NW 123 Avenue
Pembroke Pines, FL 33026-3824

Mailing address

1711 NW 123 Avenue
Pembroke Pines, FL 33026-3824
Phone (954) 436-0136

National Provider Directory

National Provider Directory

Locations

1711 NW 123rd Ave
Pembroke Pines, FL 33026
Phone (954) 436-0136

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1861681694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 NW 123 AVENUE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263824",
            "telephone_number": "954-436-0136",
            "fax_number": "954-447-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 NW 123 AVENUE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263824",
            "telephone_number": "954-436-0136",
            "fax_number": "954-447-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHLOMO PASCAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "PASCAL",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-436-0136",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.