Organization Active NPI

East Pompano Pediatrics Corp

  • Pediatrics Physician
  • Pompano Beach, FL
National Provider Identifier
1871578641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EAST POMPANO PEDIATRICS CORP
Practice address
601 East Sample Road
Suite 107
Pompano Beach, FL 33064
Phone
(954) 785-2355
Fax
(954) 785-0755
NPI assigned
Dec 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harry JJ Jean-Baptiste, MDNPI 1972588762
Title
President
Phone
(954) 785-2355

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

601 East Sample Road
Suite 107
Pompano Beach, FL 33064

Mailing address

601 East Sample Road
Suite 107
Pompano Beach, FL 33064
Phone (954) 785-2355

National Provider Directory

National Provider Directory

Locations

601 E Sample Rd
Ste 107
Deerfield Beach, FL 33064
Phone (954) 210-7016

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9792/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871578641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EAST SAMPLE ROAD",
            "address_2": "SUITE 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-785-2355",
            "fax_number": "954-785-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EAST SAMPLE ROAD",
            "address_2": "SUITE 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-785-2355",
            "fax_number": "954-785-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POMPANO PEDIATRICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEAN-BAPTISTE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "JJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-785-2355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.