NPIMap

Organization Active NPI

Fau Broward Health Academic Practice Plan Inc

  • Pulmonary Disease Physician
  • Lighthouse Point, FL
National Provider Identifier
1922849439
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC
Practice address
2100 E Sample Rd Ste 101
Lighthouse Point, FL 33064-7574
Phone
(954) 958-7195
Fax
(954) 958-7115
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Jerry Capote, MDNPI 1740449545
Title
MD/Ceo
Phone
(954) 786-6449

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2100 E Sample Rd Ste 101
Lighthouse Point, FL 33064-7574

Mailing address

2100 E Sample Rd Ste 101
Lighthouse Point, FL 33064-7574
Phone (954) 958-7195

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2308288Fau Broward Health Academic Practice Plan Inc2100 E Sample Rd Suite 101, Lighthouse Point, FL 33064Certificate of waiverJul 24, 2026

National Provider Directory

National Provider Directory

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": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1922849439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E SAMPLE RD STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-958-7195",
            "fax_number": "954-958-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E SAMPLE RD STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-958-7195",
            "fax_number": "954-958-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "CAPOTE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "954-786-6449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.