PDP MD, LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

PDP MD, LLC

Practice address

1004 NW 51St PL Ste 3500
Fort Lauderdale, FL 33309-3140

Phone

(888) 776-5958

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Benjamin Faino

Title

General Counsel

Phone

(908) 514-6619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1891522470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WORLD DR STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696980",
            "telephone_number": "888-776-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NW 51ST PL STE 3500",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093140",
            "telephone_number": "888-776-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDP MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "FAINO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "908-514-6619"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Transportation Network Company in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.