Active NPI
Itzhak Nir MD PA
- Specialist
- Loxahatchee, FL
National Provider Identifier
1114293008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME70544
- 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, 2012
- 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
- Mrs. Faith Nir
- Title
- Office Manager
- Phone
- (561) 753-3331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2039878 | Itzhak Nir MD PA Dba Prestige Surgery Ctr | Certificate of waiver | Apr 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Loxahatchee, FL
- NPI 1770522112
-
- Plastic and Reconstructive Surgery Physician
- Loxahatchee, FL
- NPI 1124015482
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
- Integrated Regional Laboratories Pathology Services, LLC
- Intensive Care Consortium Inc
- International Multi-Specialty Physicians Inc
- Interventional Pain and Regenerative Clinic LLC
- Ira M. Stein, M.D., L.L.C (Pediatric ENT of the Palm Beaches)
- Hunter Ivey, FNP
- J&M Care Services LLC
- Abdel Rahman Samih a Jaber, MD
- Anna Pavlovna Jackson, PNP-PC
- William Anthony Jacobs, D.O.
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.