Individual provider Active NPI

Jorge Novellas Zayas, A.P.R.N.

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1053920173
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008128 Issued in FL
Practice address
17855 NW 78TH Ave
Hialeah, FL 33015-2805
Phone
(786) 717-3164
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11008128 FL Primary

Addresses

Primary practice location

17855 NW 78TH Ave
Hialeah, FL 33015-2805

Mailing address

18938 NW 85TH CT Apt 3101
Hialeah, FL 33015-7226
Phone (786) 717-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921001096 FL Practitioner - Nurse Practitioner 8921484411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17855 NW 78TH Ave
Hialeah, FL 33015-2805
Phone (786) 717-3164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Single Specialty CurrentSince Mar 17, 2023 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

6100 Hollywood Blvd
Ste 300
Pembroke Pines, FL 33024
Phone (754) 290-5429

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

Interoperability endpoints

  • Direct secure messaging: jorge.novellaszayas@wwmp.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1053920173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18938 NW 85TH CT APT 3101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157226",
            "telephone_number": "786-717-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17855 NW 78TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152805",
            "telephone_number": "786-717-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELLAS ZAYAS",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.