Ney F Andujar, M.D. PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME80487 Issued in FL

Legal business name

NEY F ANDUJAR, M.D. PA

Practice address

1401 SE Goldtree Dr Ste 104
Port St Lucie, FL 34952-7584

Phone

(772) 905-8531

Fax

(772) 905-8526

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ney F Andujar, MDNPI 1033146303

Title

Owner

Phone

(772) 905-8531

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ney F Andujar, MD

  • Specialist
  • NPI 1033146303

  FL

  Medicare reassignment NPD Authorized official
• Heather M Simmons, LCSW

  • Specialist
  • Fort Pierce, FL
  • NPI 1174569214
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1013945179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SE GOLDTREE DR STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527584",
            "telephone_number": "772-905-8531",
            "fax_number": "772-905-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SE GOLDTREE DR STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527584",
            "telephone_number": "772-905-8531",
            "fax_number": "772-905-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEY F ANDUJAR, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "ANDUJAR",
        "authorized_official_first_name": "NEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-905-8531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Pharmacy & Medical Supply Inc
• Jodi B Newman, RD
• Nexgen Lab, LLC
• Next Level Care LLC
• Next Level Wellness Center
• Gitana Odette NG, ARNP
• Marie Ngom, M.D.
• Andino Nguyen, DMD
• Hieu CHI Nguyen, PHARMD
• Maharanie Yougashuar Nichols

• Specialist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.