Individual provider Active NPI

Nicholas Joseph Serniak III, M.D.

  • Colon & Rectal Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1124408802
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME179350 Issued in FL
Practice address
4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603
Phone
(954) 771-8000
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME179350 FL Primary
Surgery Physician 208600000X ME179350 FL

Addresses

Primary practice location

4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603

Mailing address

251 SE 7TH St
Pompano Beach, FL 33060-8451
Phone (570) 903-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210909000718 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1254750474 Reassigns benefits to 1 organization
I20210924001418 PA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1254750474 Reassigns benefits to 1 organization
I20260416002465 FL Practitioner - Colorectal Surgery (Proctology) 1254750474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, shared by 5 NPIs, 795 clinicians
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

1780 Hanshaw Rd
Ithaca, NY 14850-9105
Phone (607) 257-5858

317 W Lockhart St
Surgery
Sayre, PA 18840-1618
Phone (570) 887-3920

4701 N Federal Hwy A39
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4608
Phone (954) 351-7770

One Guthrie SQ
Sayre, PA 18840-1625

One Guthrie Square
Sayre, PA 18840-1625

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312668NYMDLicensed Practical Nurse
ME179350FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Surgery CurrentSince Sep 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Robert Packer Hospital Past Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

720 Willow Ave
Ithaca, NY 14850
Phone (570) 887-3025

1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920

Interoperability endpoints

  • Direct secure messaging: nserniak168309@direct-guthrie.org

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 6

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1124408802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SE 7TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608451",
            "telephone_number": "570-903-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-771-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNIAK",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME179350",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME179350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.