Nicholas Christian Von Sass, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Atlantis, FL
NPI 1194584672 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1194584672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 180 JFK Dr Ste 210
Atlantis, FL 33462-6641 - Phone
- (561) 772-6578
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418001234 | FL | Order and Referring Only - Internal Medicine |
2062851462 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- nicholas.sass@hca4.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
180 JFK Dr Ste 210
Atlantis, FL 33462-6641
Mailing address
180 JFK Dr Ste 210
Atlantis, FL 33462-6641
Other providers in Atlantis, FL
- Carmen Sanchez Perez
- Mark Sandifer
- Mirela Elisabeth Sandru
- TJ Klay Sandum
- Adis Dorys Santoyo Banasco
- Victor Sasson
- Angela Savino
- Amy T Scarlett
- Aleta Scheleur
- Nicholas Christian Schiller
All providers in Atlantis, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.