Organization Active NPI

Med-Ped Associates PA

  • Pediatrics Physician
  • Lauderhill, FL
National Provider Identifier
1932195047
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1469 Issued in FL
Legal business name
MED-PED ASSOCIATES PA
Practice address
1600 N State Road 7
Ste 300
Lauderhill, FL 33313-5853
Phone
(954) 581-1977
Fax
(954) 583-1667
NPI assigned
Sep 23, 2005
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Rufus Joseph, MDNPI 1720069362
Title
Owner
Phone
(954) 581-1977

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 1469 FL Primary

Addresses

Primary practice location

1600 N State Road 7
Ste 300
Lauderhill, FL 33313-5853

Mailing address

1600 N State Road 7
Ste 300
Lauderhill, FL 33313-5853
Phone (954) 581-1977

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
10D0933047Med-Ped Associates1600 N State Rd 7 Ste 300, Fort Lauderdale, FL 33313Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

20352 NW 2nd Ave
Miami, FL 33169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1932195047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N STATE ROAD 7",
            "address_2": "STE 300",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135853",
            "telephone_number": "954-581-1977",
            "fax_number": "954-583-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N STATE ROAD 7",
            "address_2": "STE 300",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135853",
            "telephone_number": "954-581-1977",
            "fax_number": "954-583-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PED ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RUFUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-581-1977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.