Individual provider Active NPI

Jeffrey Arlen Danziger, M.D.

  • Psychiatry Physician
  • Maitland, FL
National Provider Identifier
1881732196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0049703 Issued in FL
Practice address
2300 Maitland Center Pkwy
Suite 230
Maitland, FL 32751-4129
Phone
(407) 679-6400
Fax
(407) 679-7988
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0049703 FL Primary

Addresses

Primary practice location

2300 Maitland Center Pkwy
Suite 230
Maitland, FL 32751-4129

Mailing address

2300 Maitland Center Pkwy
Suite 230
Maitland, FL 32751-4129
Phone (407) 679-6400

Other identifiers 1

IdentifierTypeStateIssuer
061763600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000206 FL Practitioner - Psychiatry 1456381888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 Maitland Ctr Pkwy
Suite 211
Maitland, FL 32751-4129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0049703FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Affiliates, P.a. Psychiatry CurrentSince Oct 24, 1996 Accepting new patients

Locations

2300 Maitland Center Pkwy
Ste 211
Maitland, FL 32751
Phone (407) 679-6400

2300 Maitland Center Pkwy
Ste 230
Maitland, FL 32751
Phone (407) 679-6400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881732196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MAITLAND CENTER PKWY",
            "address_2": "SUITE 230",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514129",
            "telephone_number": "407-679-6400",
            "fax_number": "407-679-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MAITLAND CENTER PKWY",
            "address_2": "SUITE 230",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514129",
            "telephone_number": "407-679-6400",
            "fax_number": "407-679-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZIGER",
        "first_name": "JEFFREY",
        "middle_name": "ARLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0049703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061763600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.