Organization Active NPI

Womens Consultation LLC

  • Obstetrics & Gynecology Physician
  • Hallandale Beach, FL
National Provider Identifier
1255908380
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS CONSULTATION LLC
Practice address
1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009-4726
Phone
(954) 204-0054
Fax
(954) 505-4491
NPI assigned
Jun 8, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Albert Starikov, DONPI 1861588014
Title
Owner
Phone
(954) 204-0054

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009-4726

Mailing address

15901 Collins Ave Apt 3205
Sunny Isles Beach, FL 33160-4154

Other identifiers 1

IdentifierTypeStateIssuer
101784800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241112002441 FL Part B Supplier - Clinic/Group Practice 5294269379 Receives reassigned benefits from 1 practitioner
Practice locations: Hallandale Beach, FL

National Provider Directory

National Provider Directory

Locations

1920 E Hallandale Beach Blvd
Ste 901
Hallandale Beach, FL 33009
Phone (954) 204-0054

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1255908380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 COLLINS AVE APT 3205",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD STE 901",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094726",
            "telephone_number": "954-204-0054",
            "fax_number": "954-505-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "STARIKOV",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-204-0054",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101784800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.