Active NPI
Sheridan Children Healthcare Services of Pennsylvania PC
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
National Provider Identifier
1265415772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- Legal business name
- SHERIDAN CHILDREN HEALTHCARE SERVICES OF PENNSYLVANIA PC
- Practice address
- 1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853 - Phone
- (954) 838-2371
- NPI assigned
- Nov 29, 2005
- 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
- Gilbert Drozdow, M.D
- Title
- Senior Vice President
- Phone
- (954) 838-2371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | Primary |
Addresses
Primary practice location
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Mailing address
PO Box 841107
Pembroke Pines, FL 33084-3107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 968032 | Other | PA | BC/BS |
| 1664490 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265415772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841107",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330843107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "#200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-838-2371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERIDAN CHILDREN HEALTHCARE SERVICES OF PENNSYLVANIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DROZDOW",
"authorized_official_first_name": "GILBERT",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "954-838-2371",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "968032",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1664490",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.