NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1720226301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720226301 |
| Entity Type | Organization |
| Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Practice Address |
1750 Ne 167th Street North Miami Beach FL 33162-3017 |
| Mailing Address |
3200 S. University Drive Sanford L. Ziff Bldg. 3rd Floor, Room 4364-d Ft. Lauderdale FL 33328-2018 |
| Practice Telephone | 9542624100 |
| Practice Fax Number | 9542621666 |
| Mailing Telephone | 9542624343 |
| Mailing Fax Number | 9542622269 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2011-06-16 |
| Authorized Official Name | ROBERT S. OLLER (CEO CLINICAL OPERATIONS) |
| Authorized Official Telephone | 9542624343 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | NOVA SOUTHEASTERN UNIVERSITY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 075174000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558799809 | Nova Southeastern University, Inc | Clinical Medical Laboratory | 3321 College Ave, 4th Floor Suite 490, Davie, FL 33314-7705 | 2013-10-24 |
| 1013208800 | Nova Southeastern University, Inc | Dentist | 1050 Ne 125th Street, North Miami Beach, FL 33161-5805 | 2011-04-27 |
| 1194991059 | Nova Southeastern University, Inc | Psychologist | 7600 Sw 36th Street, Ft. Lauderdale, FL 33328-1902 | 2008-05-01 |
| 1881732634 | Nova Southeastern University, Inc | Family Medicine | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2007-02-02 |
| 1700924511 | Nova Southeastern University, Inc | Technician/Technologist | 650 North Andrews Avenue, Ft. Lauderdale, FL 33311-7436 | 2007-02-02 |
| 1922550003 | Nova Southeastern University, Inc | Occupational Therapist | 3375 Sw 75th Ave, Room 1021, Davie, FL 33314-1400 | 2016-10-25 |
| 1669763462 | Nova Southeastern University, Inc | Dentist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-04-27 |
| 1811288012 | Nova Southeastern University, Inc | Dentist | 7600 Sw 36th Street, Bldg. # 100 Room 1263, Davie, FL 33328-1902 | 2011-04-22 |
| 1770722282 | Nova Southeastern University, Inc | Physical Therapist | 3301 College Ave, Room 1441 - University Center, Davie, FL 33314 | 2009-02-09 |
| 1225277650 | Nova Southeastern University, Inc | Optometrist | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2009-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Ave, Fort Lauderdale, FL 33314-7721 |
| Colorado Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | Nova Southeastern University, 3301 College Ave - Licensure, Fort Lauderdale, FL 33314 |
| Iowa Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Ave, Ft Lauderdale, FL 33314 |
| Oregon Corporations, Companies and Business Names | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Ave, Fort Lauderdale, FL 33314 |
| Vermont Business Registrations | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Avenue, Ft. Lauderdale, FL 33314 |
| Indiana Business Entities | NOVA SOUTHEASTERN UNIVERSITY, INC. | 3301 College Avenue, Fort Lauderdale, FL 33314 |
| Street Address |
1750 NE 167TH STREET |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33162-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881732634 | Nova Southeastern University, Inc | Family Medicine | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2007-02-02 |
| 1225277650 | Nova Southeastern University, Inc | Optometrist | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101404 | Gaetano Ricardo Capozza | Dentist | 16570 Ne 26th Ave Apt 3a, North Miami Beach, FL 33160-4015 | 2020-07-09 |
| 1083251920 | Sonrisas Dental Clinic Inc | Dentist | 16875 Ne 15th Ave, North Miami Beach, FL 33162-2914 | 2019-12-10 |
| 1194175794 | Claudia Barakat | Dentist | 1400 Ne Miami Gardens Dr Ste 215, North Miami Beach, FL 33179-4844 | 2016-06-15 |
| 1528431483 | Daiana Atari | Dentist | 995 N Miami Beach Blvd Ste 137, North Miami Beach, FL 33162-3709 | 2015-11-01 |
| 1639565765 | David Eugene Dds II Pllc | Dentist | 16811 Ne 6th Ave, North Miami Beach, FL 33162-2405 | 2015-04-15 |
| 1184049868 | Kein Montalvo Vega | Dentist | 1602 Ne 163 Street, North Miami Beach, FL 33162 | 2014-03-04 |
| 1821318544 | Zuhdiyah Milagros Darojat | Dentist | 16125 Ne 18th Ave, North Miami Beach, FL 33162-4749 | 2010-06-03 |
| 1366774291 | Dental Associates of North Miami Beach | Dentist | 1620 Ne 163 Street, North Miami Beach, FL 33156-3882 | 2010-02-03 |
| 1437340890 | Navid Bamdad | Dentist | 16235 Ne 11th Ct, North Miami Beach, FL 33162-4505 | 2007-08-09 |
| 1295930063 | Alexei Elperin | Dentist | 16209 Ne 13th Ave, North Miami Beach, FL 33162-4607 | 2007-06-20 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
Please comment or provide details below to improve the information on NOVA SOUTHEASTERN UNIVERSITY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.