Active NPI
Nafisa A Tejpar, M.D. P.A.
- Surgery Physician
- Maitland, FL
National Provider Identifier
1902818909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME32524
- Practice address
- 221 Shell PT W
Maitland, FL 32751-5847 - Phone
- (407) 644-3622
- Fax
- (407) 644-1334
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME32524 | FL | Primary |
Addresses
Primary practice location
221 Shell PT W
Maitland, FL 32751-5847
Mailing address
221 Shell PT W
Maitland, FL 32751-5847
Phone (407) 644-3622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036883100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME32524 | FL | MD | Surgery Physician |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1902818909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 SHELL PT W",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515847",
"telephone_number": "407-644-3622",
"fax_number": "407-644-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 SHELL PT W",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327515847",
"telephone_number": "407-644-3622",
"fax_number": "407-644-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJPAR",
"first_name": "NAFISA",
"middle_name": "A",
"credential": "M.D. P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME32524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036883100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.