Organization Active NPI

Niermala Rattan-Washington,M.D.,P.a.

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1225209919
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90568 Issued in FL
Legal business name
NIERMALA RATTAN-WASHINGTON,M.D.,P.A.
Practice address
3511 NW 8TH Ave
Suite 2
Pompano Beach, FL 33064-3055
Phone
(954) 783-0621
Fax
(954) 255-5607
NPI assigned
Mar 20, 2008
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Dr. Niermala Washington, M.D.NPI 1780611764
Title
President
Phone
(954) 288-4481

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90568 FL Primary

Addresses

Primary practice location

3511 NW 8TH Ave
Suite 2
Pompano Beach, FL 33064-3055

Mailing address

2137 Sea Pines Way
Coral Springs, FL 33071-7738
Phone (954) 288-4481

Other identifiers 1

IdentifierTypeStateIssuer
271039100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050618000141 FL Part B Supplier - Clinic/Group Practice 3173567286 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Margate, FL; Oakland Park, FL; Wilton Manors, FL

National Provider Directory

National Provider Directory

Locations

7316 W Atlantic Blvd
Margate, FL 33063
Phone (954) 971-5700

Practitioners & 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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1225209919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 SEA PINES WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717738",
            "telephone_number": "954-288-4481",
            "fax_number": "954-783-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643055",
            "telephone_number": "954-783-0621",
            "fax_number": "954-255-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIERMALA RATTAN-WASHINGTON,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "NIERMALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-288-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271039100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.