NPIMap

Organization Active NPI

American Physicians Foundation Corporation

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1922013754
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AMERICAN PHYSICIANS FOUNDATION CORPORATION
Practice address
2151 Riverside Ave
Jacksonville, FL 32204-4416
Phone
(904) 388-8686
Fax
(904) 388-4445
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Abdi Abbassi, MDNPI 1831183938
Title
Physician/Owner
Phone
(904) 388-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

2151 Riverside Ave
Jacksonville, FL 32204-4416

Mailing address

2151 Riverside Ave
Jacksonville, FL 32204-4416
Phone (904) 388-8686

Other identifiers 1

IdentifierTypeStateIssuer
269791200MedicaidFL

Other names 1

  • digestive disease foundation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000037 FL Part B Supplier - Clinic/Group Practice 0941113294 Receives reassigned benefits from 9 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

3 Shircliff Way
Ste 615
Jacksonville, FL 32204
Phone (904) 388-6003

3627 University Blvd S
Ste 430
Jacksonville, FL 32216
Phone (904) 858-9700

3 Shircliff Way
#435
Jacksonville, FL 32204
Phone (904) 388-8686

2300 Park Ave
Ste 101D
Orange Park, FL 32073
Phone (904) 354-8200

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1922013754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044416",
            "telephone_number": "904-388-8686",
            "fax_number": "904-388-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044416",
            "telephone_number": "904-388-8686",
            "fax_number": "904-388-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PHYSICIANS FOUNDATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "904-388-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269791200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "digestive disease foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.