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MOYENDA MEDICAL ASSOCIATES
NPI 1104313816
Family Medicine in Lake Worth, FL

Active since April 18, 2018
220 S DIXIE HWY STE 4, LAKE WORTH, FL 33460(954) 774-1414 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2019, Apr 18, 2018 (2 updates tracked since 2018).

About Moyenda Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOYENDA MEDICAL ASSOCIATES (NPI 1104313816) is a healthcare organization registered as a family medicine in Lake Worth, Florida and active in the NPI registry since April 2018. The organization maintains a secondary practice location in Lake Worth and lists Zakiya Bomani Moyenda, Owner, as its authorized official.

NPPES Registry Identity

NPI1104313816
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTAZKIYAH HEALTH INSTITUTE INC
Location Address220 S DIXIE HWY STE 4Lake Worth, FL 33460-4153
Mailing Address10276 Oak Meadow Ln Ste 1aLake Worth, FL 33449-5467 · (954) 774-1414
Phone(954) 774-1414
Organization SubpartNo
Authorized OfficialZakiya Bomani MoyendaOwner · (954) 774-1414
Enumeration DateApril 18, 2018
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 11, 2022
✔ NPI 1104313816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME121227
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 S DIXIE HWY STE 4, Lake Worth, FL 33460
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Other Names 1

Doing Business AsMoyenda Medical Associates

Secondary Practice Location 1

Location 110276 Oak Meadow Ln Ste 1ALake Worth, FL 33449-5467 · Phone (954) 774-1414

Other Identifiers 1

Medicaid015182600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moyenda Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Moyenda Medical Associates, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Zakiya Moyenda, M.D.
Internal Medicine
NPI 1073878138
10276 OAK MEADOW LN STE 1A
Lake Worth, FL 33449
(954) 774-1414
✔ PECOS✔ Accepts Medicare9.4 mi
Jimmy Dorival, APRN
Nurse Practitioner
NPI 1114372596
672 SW PRIMA VISTA BLVD STE 102
Port St Lucie, FL 34983
(772) 905-2560
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tazkiyah Health Institute Inc's NPI number?

The NPI number for Tazkiyah Health Institute Inc is 1104313816. It was assigned to this organization in the NPPES registry on April 18, 2018. The provider is doing business as Moyenda Medical Associates.

Where is Tazkiyah Health Institute Inc located?

Tazkiyah Health Institute Inc is located at 220 S Dixie Hwy Ste 4, Lake Worth, FL 33460. The listed phone number is (954) 774-1414.

What is Tazkiyah Health Institute Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tazkiyah Health Institute Inc enrolled in Medicare?

Yes. Tazkiyah Health Institute Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tazkiyah Health Institute Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tazkiyah Health Institute Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tazkiyah Health Institute Inc was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.