Organization Active NPI

Nephrology Consultants of South Florida PA

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1043260284
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEPHROLOGY CONSULTANTS OF SOUTH FLORIDA PA
Practice address
2161 E Commercial Blvd
2ND FL
Ft Lauderdale, FL 33308-3810
Phone
(954) 491-5187
Fax
(954) 491-5217
NPI assigned
May 10, 2006
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Ms. Dawn Usherwood
Title
Office Manager
Phone
(954) 491-5187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2161 E Commercial Blvd
2ND FL
Ft Lauderdale, FL 33308-3810

Mailing address

2161 E Commercial Blvd
2ND FL
Ft Lauderdale, FL 33308-3726
Phone (954) 491-5187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101116000594 FL Part B Supplier - Clinic/Group Practice 7911192968 Receives reassigned benefits from 2 practitioners
Practice locations: Tamarac, FL; Deerfield Beach, FL; Pompano Beach, FL; Margate, FL; Ft Lauderdale, FL; Fort Lauderdale, FL; Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

2161 E Commercial Blvd
Fl 2
Ft Lauderdale, FL 33308
Phone (305) 728-0505

7150 W McNab Rd
Tamarac, FL 33321

7421 N University Dr
Ste 205
Tamarac, FL 33321
Phone (954) 476-9899

7421 N University Dr
Ste 212
Tamarac, FL 33321
Phone (954) 721-9494

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1043260284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E COMMERCIAL BLVD",
            "address_2": "2ND FL",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083726",
            "telephone_number": "954-491-5187",
            "fax_number": "954-491-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E COMMERCIAL BLVD",
            "address_2": "2ND FL",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083810",
            "telephone_number": "954-491-5187",
            "fax_number": "954-491-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "USHERWOOD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-491-5187",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.