Individual provider Active NPI

Taskin U Haque, M.D.

  • Pediatrics Physician
  • Belle Glade, FL
National Provider Identifier
1922017318
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME33825 Issued in FL
Practice address
1100 N Main St Ste a
Suite 1
Belle Glade, FL 33430-1973
Phone
(561) 996-8505
Fax
(561) 996-7331
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME33825 FL Primary

Addresses

Primary practice location

1100 N Main St Ste a
Suite 1
Belle Glade, FL 33430-1973

Mailing address

1100 N Main St Ste a
Suite 1
Belle Glade, FL 33430-1973
Phone (561) 996-8505

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
I20151111002067 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3779680764

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taskin U Haque M.D. P.a. Pediatrics Current Accepting new patients
Taskin U. Haque, MD. PA. Pediatrics CurrentSince Oct 31, 1995 Accepting new patients

Locations

1100 N Main St
Ste A
Belle Glade, FL 33430
Phone (561) 996-8505

Interoperability endpoints

  • Direct secure messaging: lmcthaque@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Childrens ClinicBelle Glade, FL, CCN 103902 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Jun 23, 1982
Oct 31, 1995
Oct 31, 1995
Oct 31, 1995

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1922017318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST STE A",
            "address_2": "SUITE 1",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334301973",
            "telephone_number": "561-996-8505",
            "fax_number": "561-996-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST STE A",
            "address_2": "SUITE 1",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334301973",
            "telephone_number": "561-996-8505",
            "fax_number": "561-996-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "TASKIN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME33825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

Verify at the official NPI Registry.