Individual provider Active NPI

Isaac Burdeinick, APRN

  • Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1063754455
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11020794 Issued in FL
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

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002907 FL Practitioner - Nurse Practitioner 3173909785 Reassigns benefits to 2 organizations

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
Miami Spine Specialists LLCGroup PAC ID 0244597631, 3 clinicians

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

LicenseStateTypeSpecialty
RN9544171FLMDRegistered Nurse
ABSA 12-191FLMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Spine Specialists LLC Nurse Practitioner CurrentSince Oct 16, 2023 Accepting new patients
Total Orthopaedic Care, P.a. CurrentSince Sep 1, 2022 Accepting new patients
Total Orthopaedic Care PA CurrentSince Sep 1, 2022 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

  • Direct secure messaging: iburdeinick@mssl-fl.direct.office.nextgen.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.