Adib Antoine Chidiac, M.D., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ADIB ANTOINE CHIDIAC, M.D., P.A.

Practice address

601 E Sample Rd Ste 103
Deerfield Beach, FL 33064-4443

Phone

(954) 366-6039

Fax

(954) 366-6851

NPI assigned

Mar 29, 2007

Last updated

May 15, 2024By 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

Dr. Adib Antoine Chidiac, M.D.NPI 1932162682

Title

Doctor

Phone

(954) 366-6039

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

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.

• Adib Antoine Chidiac, M.D., P.A., FACOG

  • Specialist
  • Pompano Beach, FL
  • NPI 1932162682
  Medicare reassignment NPD Authorized official
• Nitin A Wadhwa, D.O.

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
  • NPI 1285997239
  Medicare reassignment
• Ruchi Kumari Wadhwa, M.D.

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
  • NPI 1295172690
  Medicare reassignment
• Rita Garulli Chidiac

  • Adolescent Medicine (Family Medicine) Physician
  • Deerfield Beach, FL
  • NPI 1508970989
  NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1215057922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NE 31ST AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648431",
            "telephone_number": "954-366-6039",
            "fax_number": "954-366-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-366-6039",
            "fax_number": "954-366-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIB ANTOINE CHIDIAC, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "CHIDIAC",
        "authorized_official_first_name": "ADIB",
        "authorized_official_middle_name": "ANTOINE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-366-6039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "39167",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370810100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.