Nula Medical Management II, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NULA MEDICAL MANAGEMENT II, LLC

Practice address

4090 W Whitewater Ave
Weston, FL 33332-2403

Phone

(954) 696-6232

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Gutersohn-McCoy

Title

Cfo

Phone

(305) 345-7350

Specialties & licenses 1

Addresses

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.

• Jeremy Gutersohn McCoy

  • Other Specialist/Technologist
  • Weston, FL
  • NPI 1043807647
  NPD
• Lisa B Sussman, LCSW

  • Clinical Social Worker
  • Weston, FL
  • NPI 1942185459
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1114621265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 W WHITEWATER AVE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322403",
            "telephone_number": "954-696-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W WHITEWATER AVE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322403",
            "telephone_number": "954-696-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULA MEDICAL MANAGEMENT II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "GUTERSOHN-MCCOY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-345-7350"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Broward Hospital District (BHPG Weston Physician Office 4)
• North Broward Hospital District (BHW Diagnostic)
• Katherine Novak-Selby, ARNP
• Gian M Novaro, M.D.
• Nsi Broward LLC
• Nula Medical Management, LLC (Nula Medical Management)
• Andrea Nunez
• Marlecia Nyack
• Christopher B O'Brien, M.D.
• Stephanie C O'Brien, PHARMD

• Multi-Specialty Clinic/Center in Weston, FL
• Providers in Weston, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.