Organization Active NPI

Sa Medical Physicians of FL PA

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1871841585
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SA MEDICAL PHYSICIANS OF FL PA
Practice address
9325 Glades Rd
Suite 105
Boca Raton, FL 33434-3988
Phone
(561) 362-4400
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Khashayar Vosough, MD
Title
Managing Director
Phone
(973) 826-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

9325 Glades Rd
Suite 105
Boca Raton, FL 33434-3988

Mailing address

145 Route 46 West
Suite 304
Wayne, NJ 07470-6830
Phone (973) 826-8287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1871841585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROUTE 46 WEST",
            "address_2": "SUITE 304",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706830",
            "telephone_number": "973-826-8287",
            "fax_number": "855-834-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD",
            "address_2": "SUITE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-362-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA MEDICAL PHYSICIANS OF FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "VOSOUGH",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "973-826-8287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.