NOVA SOUTHEASTERN UNIVERSITY, INC (NPI# 1881732634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881732634 |
| 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 Dr Sanford L. Ziff Bldg. 3rd Floor Room 4364-d Ft. Lauderdale FL 33328-2018 |
| Practice Telephone | 9542624100 |
| Practice Fax Number | 9542623993 |
| Mailing Telephone | 9542624343 |
| Mailing Fax Number | 9542622269 |
| Enumeration Date | 2007-02-02 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | 98673C | 01 | |
| FL | 255266300 | 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 |
| 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 |
| 1588802169 | Nova Southeastern University, Inc | Optometrist | 3200 S University Drive, Sanford L.ziff Bldg. 2nd Floor, Ft. Lauderdale, FL 33328-2018 | 2009-02-04 |
| 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 |
|---|---|---|---|---|
| 1225277650 | Nova Southeastern University, Inc | Optometrist | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2009-02-09 |
| 1720226301 | Nova Southeastern University, Inc | Dentist | 1750 Ne 167th Street, North Miami Beach, FL 33162-3017 | 2009-02-04 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716545 | A Rescue Health Care Inc | Internal Medicine | 1869 Ne 163rd St, North Miami Beach, FL 33162-4805 | 2018-10-16 |
| 1760844997 | Dolores Prudent | Internal Medicine | 1684 Ne Miami Gardens Dr, North Miami Beach, FL 33179-4900 | 2016-03-26 |
| 1689035917 | Medplan Clinics, LLC | Internal Medicine | 150 Nw 168th St # 301, North Miami Beach, FL 33169-6045 | 2016-03-15 |
| 1780933820 | Preferred Family Care, Inc | Internal Medicine | 16853 Ne 2nd Ave Ste 101, North Miami Beach, FL 33162-1776 | 2012-09-05 |
| 1841588837 | Adam Maxwell Au | Internal Medicine | 2040 Ne 163rd St Ste 204, North Miami Beach, FL 33162-4953 | 2011-07-12 |
| 1285965871 | Gaston R. Moran Celayes | Internal Medicine | 1380 Ne Miami Gdn Dr Ste 100, North Miami Beach, FL 33179-4708 | 2010-01-20 |
| 1265639298 | Medchoice Heatlh Centers, Inc. | Internal Medicine | 16260 Ne 13th Ave, North Miami Beach, FL 33162-4608 | 2007-07-02 |
| 1659592319 | Internal Medicine Associates of South Florida, P.a. | Internal Medicine | 1380 Ne Miami Gardens Dr Ste 100, North Miami Beach, FL 33179-4708 | 2007-05-01 |
| 1619017647 | Er Urgent Care Management Co Inc | Internal Medicine | 700 Ives Dairy Rd, North Miami Beach, FL 33179-2425 | 2007-02-07 |
| 1790871481 | Deborah Lynn Holmes | Internal Medicine | 100 Nw 170th Street, Suite 208, North Miami Beach, FL 33169-5510 | 2006-10-04 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
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| 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.