Organization Active NPI

National Neurosurgery Group LLC

  • Neurological Surgery Physician
  • Aventura, FL
National Provider Identifier
1043167042
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NATIONAL NEUROSURGERY GROUP LLC
Practice address
2820 NE 214TH St Ste 820
Aventura, FL 33180-1270
Phone
(754) 300-0817
Fax
(786) 244-9467
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Stacey Podkovik, MDNPI 1215463914
Title
Ambr/Physician
Phone
(224) 619-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

2820 NE 214TH St Ste 820
Aventura, FL 33180-1270

Mailing address

2820 NE 214TH St Ste 820
Aventura, FL 33180-1270
Phone (754) 300-0817

National Provider Directory

National Provider Directory

Locations

2820 NE 214th St
Ste 820
Aventura, FL 33180
Phone (754) 300-0817

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1043167042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST STE 820",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801270",
            "telephone_number": "754-300-0817",
            "fax_number": "786-244-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST STE 820",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801270",
            "telephone_number": "754-300-0817",
            "fax_number": "786-244-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL NEUROSURGERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PODKOVIK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "AMBR/PHYSICIAN",
        "authorized_official_telephone_number": "224-619-2370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.