Organization Active NPI

Paul T Fass M.D., P.a.

  • Allergy Physician
  • Aventura, FL
National Provider Identifier
1881669091
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME15036 Issued in FL
Legal business name
PAUL T FASS M.D., P.A.
Practice address
2999 NE 191St St
Suite 230
Aventura, FL 33180-3123
Phone
(305) 933-9953
NPI assigned
Feb 21, 2006
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Paul T Fass, M.D.NPI 1477525673
Title
Director
Phone
(305) 933-9953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X ME15036 FL Primary

Addresses

Primary practice location

2999 NE 191St St
Suite 230
Aventura, FL 33180-3123

Mailing address

PO Box 729
Hallandale, FL 33008-0729
Phone (305) 503-6320

National Provider Directory

National Provider Directory

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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1881669091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330080729",
            "telephone_number": "305-503-6320",
            "fax_number": "305-503-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST",
            "address_2": "SUITE 230",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803123",
            "telephone_number": "305-933-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T FASS M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "FASS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-933-9953",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME15036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.