NPIMap

Organization Active NPI

Physician Next Door, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1114336740
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS7691 Issued in FL
Legal business name
PHYSICIAN NEXT DOOR, LLC
Practice address
1834 N Alafaya TRL
Suite C
Orlando, FL 32826-4743
Phone
(941) 870-0199
Fax
(941) 870-0203
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Gabriel Nuriel, D.O.
Title
Ceo
Phone
(941) 870-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X OS7691 FL Primary

Addresses

Primary practice location

1834 N Alafaya TRL
Suite C
Orlando, FL 32826-4743

Mailing address

1834 N Alafaya TRL
Suite C
Orlando, FL 32826-4743
Phone (941) 870-0199

Other identifiers 1

IdentifierTypeStateIssuer
HM571AOtherFLPTAN

National Provider Directory

National Provider Directory
Tax ID family
Physician Next Door2 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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1114336740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 N ALAFAYA TRL",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264743",
            "telephone_number": "941-870-0199",
            "fax_number": "941-870-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 N ALAFAYA TRL",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264743",
            "telephone_number": "941-870-0199",
            "fax_number": "941-870-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN NEXT DOOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "NURIEL",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-870-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS7691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HM571A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.