Active NPI
Carmen Judith Pagan, M.D.
- Pediatrics Physician
- Palm Bay, FL
National Provider Identifier
1972562957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME82615
- Practice address
- 5270 Babcock St NE Ste 1
Palm Bay, FL 32905 - Phone
- (321) 676-5996
- Fax
- (321) 676-5926
- NPI assigned
- Mar 20, 2006
- Last updated
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME82615 | FL | Primary |
Addresses
Primary practice location
5270 Babcock St NE Ste 1
Palm Bay, FL 32905
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100210500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME82615 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1972562957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329021137",
"telephone_number": "321-952-9696",
"fax_number": "321-952-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 BABCOCK ST NE STE 1",
"city": "PALM BAY",
"state": "FL",
"postal_code": "32905",
"telephone_number": "321-676-5996",
"fax_number": "321-676-5926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "CARMEN",
"middle_name": "JUDITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME82615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100210500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
- Ryan Owens
- Akire D Oyola
- Picardo Pablo
- Marisse Padron, MD
- Arlene Pagan-Palermo, PTA
- Palm Bay Anesthesia Associates PA
- Palm Bay Chiropractic and Wellness, PLLC (Melbourne Chiropractic Spine and Injury Center)
- Palm Bay Dental Center PA
- Palm Bay FL Opco LLC
- Palm Bay Health Care Associates LLC (Palms Rehabilitation and Healthcare Center, The)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.