Organization Active NPI

Erna LDP

  • Preferred Provider Organization
  • Fort Lauderdale, FL
National Provider Identifier
1124731047
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ERNA LDP
Practice address
4848 NW 24TH CT
Unit 428
Fort Lauderdale, FL 33313
Phone
(772) 444-2779
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Ms. Erna Julien
Title
Ceo
Phone
(772) 444-2779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

4848 NW 24TH CT
Unit 428
Fort Lauderdale, FL 33313

Mailing address

3901 W Broward Blvd Unit 120504
Fort Lauderdale, FL 33312-8422
Phone (772) 444-2779

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ernaldp.com Direct

National Provider Directory

National Provider Directory

Locations

3901 W Broward Blvd
Unit 120504
Fort Lauderdale, FL 33312

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1124731047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W BROWARD BLVD UNIT 120504",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128422",
            "telephone_number": "772-444-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NW 24TH CT",
            "address_2": "UNIT 428",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "772-444-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNA LDP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "JULIEN",
        "authorized_official_first_name": "ERNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-444-2779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ernaldp.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3901 W Broward Blvd Unit 120504",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333128422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.