Active NPI
NP Surgical Corp
- Surgical Assistant
- Pembroke Pines, FL
National Provider Identifier
1184242190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- NP SURGICAL CORP
- Practice address
- 415 NW 109TH Ave
Pembroke Pines, FL 33026-4056 - Phone
- (954) 398-0347
- NPI assigned
- Jul 7, 2020
- Last updated
- Dec 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Indhira Y Pena, SA-C
- Title
- President
- Phone
- (954) 398-0347
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | NU | Primary |
Addresses
Primary practice location
415 NW 109TH Ave
Pembroke Pines, FL 33026-4056
Mailing address
415 NW 109TH Ave
Pembroke Pines, FL 33026-4056
Phone (954) 398-0347
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1184242190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 NW 109TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264056",
"telephone_number": "954-398-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 NW 109TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264056",
"telephone_number": "954-398-0347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NP SURGICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-07",
"last_updated": "2023-12-12",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "INDHIRA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-398-0347",
"authorized_official_credential": "SA-C"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.