Organization Active NPI

Olde Naples Nuviva Medical Weight Loss Inc

  • Obesity Medicine (Family Medicine) Physician
  • Naples, FL
National Provider Identifier
1003254533
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
OLDE NAPLES NUVIVA MEDICAL WEIGHT LOSS INC
Practice address
201 8TH St S
103
Naples, FL 34102-6107
Phone
(239) 384-9115
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Alex Joseph
Title
Ceo
Phone
(239) 466-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X Primary

Addresses

Primary practice location

201 8TH St S
103
Naples, FL 34102-6107

Mailing address

201 8TH St S
103
Naples, FL 34102-6107

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1003254533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 8TH ST S",
            "address_2": "103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 8TH ST S",
            "address_2": "103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026107",
            "telephone_number": "239-384-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE NAPLES NUVIVA MEDICAL WEIGHT LOSS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-466-4007"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.