Stephanie Nicolau Raducu

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113455 Issued in FL

Practice address

7800 SW 57TH Ave Ste 110
South Miami, FL 33143-5543

Phone

(305) 740-6181

Fax

(305) 741-6140

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1275009482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-424-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 110",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-740-6181",
            "fax_number": "305-741-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAU RADUCU",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tram Nhat Bao Nguyen, MD
• Nicholas Fort, M.D., P.a.
• Veronica Nicholas
• Nicklaus Children'S Pediatric Specialists, LLC
• Nicklaus Children'S Pediatric Specialists, LLC
• Nilo a. Hernandez Jr., DDS, PA
• Brian Nitzberg, DMD
• Philip Thomas Nix, PA-C
• Sisy Noal-Yanes, PA-C
• Ovi Nodarse, APRN

• Medical Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.