Hollywood Pediatrics, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HOLLYWOOD PEDIATRICS, P.A.

Practice address

4430 Sheridan St
Suite B
Hollywood, FL 33021-3546

Phone

(954) 963-5437

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Jeff Wieder

Title

Owner

Phone

(954) 963-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcy Bernstein, MD

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1508928003
  NPD (past)
• Summer Lynn Divincenzo, ARNP

  • Pediatric Nurse Practitioner
  • Hollywood, FL
  • NPI 1366953242
  NPD (past)
• Elizabeth Lobell, MD

  • Pediatrics Physician
  • Miami Beach, FL
  • NPI 1104351865
  NPD (past)
• Rock Judel Pierre, ARNP

  • Family Nurse Practitioner
  • Hollywood, FL
  • NPI 1649713371
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1285840900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 SHERIDAN ST",
            "address_2": "SUITE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213546",
            "telephone_number": "954-963-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 SHERIDAN ST",
            "address_2": "SUITE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213546",
            "telephone_number": "954-963-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-963-5437"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262004900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollywood Oral Surgery, PLLC
• Hollywood Orthopedics
• Hollywood Pain Relief Dispensary
• Hollywood Paradise Residence Inc
• Hollywood Pavilion LLC
• Hollywood Perfect Smile PA
• Hollywood Psychology Center Inc.
• Hollywood PT Associates, Inc.
• Hollywood Regional Opco
• Hollywood Sa Tenant Opco, LLC

• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.