Active NPI
Robert Nguyen DPM LLC
- Foot & Ankle Surgery Podiatrist
- Fort Lauderdale, FL
National Provider Identifier
1104053750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- ROBERT NGUYEN DPM LLC
- Practice address
- 2699 Stirling Rd
Suite A301/302
Fort Lauderdale, FL 33312-6517 - Phone
- (954) 278-3890
- Fax
- (954) 251-1470
- NPI assigned
- Jun 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Nguyen, DPM
- Title
- President
- Phone
- (630) 688-1240
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
2699 Stirling Rd
Suite A301/302
Fort Lauderdale, FL 33312-6517
Mailing address
10273 SW 24TH St
Miramar, FL 33025-6507
Phone (954) 278-3890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2699 Stirling Rd
Ste A301302
Fort Lauderdale, FL 33312
Phone (954) 278-3890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Fort Lauderdale, FL
- NPI 1225293442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416441600000",
"number": "1104053750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10273 SW 24TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330256507",
"telephone_number": "954-278-3890",
"fax_number": "954-251-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 STIRLING RD",
"address_2": "SUITE A301/302",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126517",
"telephone_number": "954-278-3890",
"fax_number": "954-251-1470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT NGUYEN DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-22",
"last_updated": "2014-11-20",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-688-1240",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.