Organization Active NPI

Safari Pediatrics, PA

  • Pediatrics Physician
  • Winter Park, FL
National Provider Identifier
1952782559
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME110851 Issued in FL
Legal business name
SAFARI PEDIATRICS, PA
Practice address
340 N Wymore Rd
Suite B
Winter Park, FL 32789-2823
Phone
(407) 613-2473
Fax
(407) 613-2474
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Fatan Jaafar, MD
Title
President
Phone
(734) 476-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME110851 FL Primary

Addresses

Primary practice location

340 N Wymore Rd
Suite B
Winter Park, FL 32789-2823

Mailing address

PO Box 490
Winter Park, FL 32790-0490
Phone (407) 613-2473

Other identifiers 2

IdentifierTypeStateIssuer
MEOtherFLME110851
005523100MedicaidFL

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
10D2098833Safari Pediatrics PA340 N Wymore Rd Ste B, Winter Park, FL 32789Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1952782559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327900490",
            "telephone_number": "407-613-2473",
            "fax_number": "407-613-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N WYMORE RD",
            "address_2": "SUITE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892823",
            "telephone_number": "407-613-2473",
            "fax_number": "407-613-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "JAAFAR",
        "authorized_official_first_name": "FATAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-476-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME110851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME110851",
            "identifier": "ME",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005523100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.