Individual provider Active NPI

Nabil A. Dajani, MD

  • Psychiatry Physician
  • Bay Pines, FL
National Provider Identifier
1912009226
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 0062953 Issued in FL
Practice address
Bay Pines VA Health Care System
10,000 Bay Pines Boulevard, Dept. 116a
Bay Pines, FL 33708
Phone
(727) 398-6661
NPI assigned
Sep 5, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 ME 0062953 FL Primary

Addresses

Primary practice location

Bay Pines VA Health Care System
10,000 Bay Pines Boulevard, Dept. 116a
Bay Pines, FL 33708

Mailing address

Bay Pines VA Health Care System
10,000 Bay Pines Boulevard, Dept. 116a
Bay Pines, FL 33708
Phone (727) 398-6661

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0062953FLMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1912009226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAY PINES VA HEALTH CARE SYSTEM",
            "address_2": "10,000 BAY PINES BOULEVARD, DEPT. 116A",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY PINES VA HEALTH CARE SYSTEM",
            "address_2": "10,000 BAY PINES BOULEVARD, DEPT. 116A",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAJANI",
        "first_name": "NABIL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 0062953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.