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DR. JOSEPH FANFAN JR. M.D.
NPI 1265608616
Family Medicine in Wilton Manors, FL

Active since May 06, 2008PECOS Enrolled
2630N ANDREWS AVE, WILTON MANORS, FL 33311(954) 525-4900(954) 396-3110 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph Fanfan Jr. M.d. NPPES

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

DR. JOSEPH FANFAN JR. M.D. (NPI 1265608616) is an individual family medicine provider in Wilton Manors, Florida, licensed in Florida (ME43065) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265608616
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH FANFAN JR.Credential: M.D.
Location Address2630N ANDREWS AVEWilton Manors, FL 33311-2550
Mailing Address2630n Andrews AveWilton Manors, FL 33311-2550 · (954) 525-4900 · Fax (954) 396-3110
Phone(954) 525-4900
Fax(954) 396-3110
Sole ProprietorYes
Enumeration DateMay 6, 2008
Last NPPES UpdateAugust 10, 2015
✔ NPI 1265608616 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 · ME43065
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.
2630N ANDREWS AVE, Wilton Manors, FL 33311
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Other Identifiers 2

Medicare UPIND63170FL
Medicaid068166100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Fanfan Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Fanfan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinique 300 Inc
Same address
Clinic/Center
2630 N ANDREWS AVE
Wilton Manors, FL 33311
  • Reassigned Medicare billing, Florida enrollment
NPI 1689059453 (954) 525-4900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Joseph Fanfan's NPI number?

The NPI number for Joseph Fanfan is 1265608616. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Joseph Fanfan located?

Joseph Fanfan practices at 2630N Andrews Ave, Wilton Manors, FL 33311. The listed phone number is (954) 525-4900.

What is Joseph Fanfan's specialty?

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

Is Joseph Fanfan enrolled in Medicare?

Yes. Joseph Fanfan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Fanfan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Fanfan reassigns Medicare benefits to La Clinique 300 Inc (Wilton Manors, FL). The 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 Joseph Fanfan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Fanfan accept?

Health plans from 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Joseph Fanfan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Fanfan was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.