Active NPI
Isaac Burdeinick, APRN
- Nurse Practitioner
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11020794
- Practice address
- 4850 W Oakland Park Blvd Ste 201
Lauderdale Lakes, FL 33313-7268 - Phone
- (954) 735-3535
- Fax
- (954) 484-7000
- NPI assigned
- Mar 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | ABSA 12-191 | FL | |
| Registered Nurse | 163W00000X | RN9544171 | FL | |
| Nurse Practitioner | 363L00000X | APRN11020794 | FL | Primary |
Addresses
Primary practice location
4850 W Oakland Park Blvd Ste 201
Lauderdale Lakes, FL 33313-7268
Mailing address
4850 W Oakland Park Blvd Ste 201
Lauderdale Lakes, FL 33313-7268
Phone (954) 735-3535
Other practice location 1
10794 Pines Blvd Ste 102-104
Pembroke Pines, FL 33026-3920
Phone (954) 735-3535
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4308 Alton Rd
Suite 830
Miami Beach, FL 33140-4558
Phone (305) 532-0065
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9544171 | FL | MD | Registered Nurse |
| ABSA 12-191 | FL | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Spine Specialists LLC | Nurse Practitioner | Current | Accepting new patients |
| Total Orthopaedic Care, P.a. | Current | Accepting new patients | |
| Total Orthopaedic Care PA | Current | Accepting new patients |
Locations
2801 NE 213th St
Ste 809
Aventura, FL 33180
Phone (305) 532-0065
4850 W Oakland Park Blvd
Ste 201
Lauderdale Lakes, FL 33313
Phone (305) 735-3535
4308 Alton Rd
Ste 830
Miami Beach, FL 33140
Phone (305) 532-0065
10794 Pines Blvd
Ste 102104
Pembroke Pines, FL 33026
Phone (954) 735-3535
Interoperability endpoints
- iburdeinick@mssl-fl.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Orthopaedic Surgery of the Spine Physician
- Miami Beach, FL
- NPI 1386171130
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Lauderdale Lakes, FL
- NPI 1558317545
-
- Orthopaedic Surgery Physician
- Pembroke Pines, FL
- NPI 1861708570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1063754455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD STE 201",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137268",
"telephone_number": "954-735-3535",
"fax_number": "954-484-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD STE 201",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137268",
"telephone_number": "954-735-3535",
"fax_number": "954-484-7000"
}
],
"practiceLocations": [
{
"address_1": "10794 Pines Blvd Ste 102-104",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330263920",
"country_code": "US",
"telephone_number": "954-735-3535",
"fax_number": "954-484-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDEINICK",
"first_name": "ISAAC",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-23",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "ABSA 12-191",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9544171",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11020794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.