Individual provider Active NPI

Nicholas Oliver Jeffrey, MD, MPH

  • Obstetrics & Gynecology Physician
  • Hollywood, FL
National Provider Identifier
1114445301
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME144500 Issued in FL
Practice address
3501 Johnson St
Hollywood, FL 33021-5421
Phone
(954) 265-3441
Fax
(954) 368-0195
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME144500 FL Primary

Addresses

Primary practice location

3501 Johnson St
Hollywood, FL 33021-5421

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8150

Other practice location 2

1150 N 35th Ave Ste 245
Hollywood, FL 33021-5424
Phone (954) 265-2740

Other identifiers 1

IdentifierTypeStateIssuer
108605600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address njeffrey@mhs.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728000306 FL Practitioner - Obstetrics/Gynecology 2264856988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, shared by 55 NPIs, 659 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Hollywood, FL 33021-5424

1150 N 35TH Ave
Hollywood, FL 33021-5431

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-9976

4105 Pembroke Rd
Hollywood, FL 33021-8103
Phone (954) 265-8100

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME144500FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Aug 11, 2022 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District Obstetrics & Gynecology CurrentSince Jun 28, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jun 28, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jul 1, 2021 Accepting new patients
South Broward Hospital District Past Accepting new patients
Usc Care Medical Group, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

1150 N 35th Ave
Ste 245
Hollywood, FL 33021
Phone (954) 265-2740

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1114445301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421",
            "telephone_number": "954-265-3441",
            "fax_number": "954-368-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Pembroke Rd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218103",
            "country_code": "US",
            "telephone_number": "954-265-8150",
            "fax_number": "954-985-2294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 N 35th Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215424",
            "country_code": "US",
            "telephone_number": "954-265-2740",
            "fax_number": "954-276-2745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "NICHOLAS",
        "middle_name": "OLIVER",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME144500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108605600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njeffrey@mhs.net",
            "affiliation": "N",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.