Organization Active NPI

Andrew E. Nullman, M.D., P.a.

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1093813032
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ANDREW E. NULLMAN, M.D., P.A.
Practice address
1190 NW 95TH St
Miami, FL 33150-2063
Phone
(305) 691-4449
Fax
(305) 691-4414
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Andrew E Nullman, M.D.
Title
Owner
Phone
(305) 534-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1190 NW 95TH St
Miami, FL 33150-2063

Mailing address

1190 NW 95TH St Ste 412
Miami, FL 33150-2067
Phone (305) 534-4404

National Provider Directory

National Provider Directory
Tax ID family
Andrew E Nullman MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1190 NW 95th St
Miami Shores, FL 33150
Phone (305) 615-2637

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3165/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1093813032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502067",
            "telephone_number": "305-534-4404",
            "fax_number": "305-691-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-691-4449",
            "fax_number": "305-691-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW E. NULLMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "NULLMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-534-4404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.