Kostiya Peki MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME95910 Issued in FL

Legal business name

KOSTIYA PEKI MD PA

Practice address

9000 SW 152ND St
Suite 105
Palmetto Bay, FL 33157-1981

Phone

(786) 445-0810

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Stacey Peki, R.N.

Title

Administrator

Phone

(786) 445-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Denise Tapper, DNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1568700888

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1972745883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 105",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "786-445-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 152ND ST",
            "address_2": "SUITE 105",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571981",
            "telephone_number": "786-445-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTIYA PEKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "PEKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-445-0810",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277983800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Palmetto Bay, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.