Organization Active NPI

Itzhak Nir MD PA

  • Specialist
  • Loxahatchee, FL
National Provider Identifier
1114293008
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME70544 Issued in FL
Legal business name
ITZHAK NIR MD PA
Practice address
13005 Southern Blvd
Suite 232
Loxahatchee, FL 33470-9206
Phone
(561) 753-3331
Fax
(561) 753-3823
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Mrs. Faith Nir
Title
Office Manager
Phone
(561) 753-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME70544 FL Primary

Addresses

Primary practice location

13005 Southern Blvd
Suite 232
Loxahatchee, FL 33470-9206

Mailing address

13005 Southern Blvd
Suite 232
Loxahatchee, FL 33470-9206
Phone (561) 753-3331

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2039878Itzhak Nir MD PA Dba Prestige Surgery Ctr13005 Southern Blvd Ste 232, Loxahatchee, FL 33470Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Locations

13005 State Road 80
Ste 232
Loxahatchee, FL 33470
Phone (561) 753-3331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1114293008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 232",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-753-3331",
            "fax_number": "561-753-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 232",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-753-3331",
            "fax_number": "561-753-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITZHAK NIR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "NIR",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-753-3331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.