Organization Active NPI

Dr.Steven Cimerberg

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1063550994
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0S5466 Issued in FL
Legal business name
DR.STEVEN CIMERBERG
Practice address
10063 Cleary Blvd
Plantation, FL 33324-1063
Phone
(954) 473-8787
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Steven Cimerberg, D.O.NPI 1760667968
Title
Owner
Phone
(954) 473-8787

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 0S5466 FL Primary

Addresses

Primary practice location

10063 Cleary Blvd
Plantation, FL 33324-1063

Mailing address

10063 Cleary Blvd
Plantation, FL 33324-1063
Phone (954) 473-8787

Other identifiers 2

IdentifierTypeStateIssuer
80084OtherFLBLUE CROSS BLUE SHEILD
80084MedicaidFL

National Provider Directory

National Provider Directory

Locations

10063 Cleary Blvd
Plantation, FL 33324
Phone (954) 452-0010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1063550994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10063 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241063",
            "telephone_number": "954-473-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10063 CLEARY BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241063",
            "telephone_number": "954-473-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.STEVEN CIMERBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "CIMERBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-473-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "0S5466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "80084",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80084",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.