Individual provider Active NPI

Alicia Acon NG, MD

  • Obstetrics & Gynecology Physician
  • Miramar, FL
National Provider Identifier
1295939882
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME100481 Issued in FL
Practice address
1951 SW 172 Avenue
Suite 315
Miramar, FL 33029-5592
Phone
(954) 507-4604
Fax
(954) 507-4606
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP1-0015675 TX
Obstetrics & Gynecology Physician 207V00000X ME100481 FL Primary

Addresses

Primary practice location

1951 SW 172 Avenue
Suite 315
Miramar, FL 33029-5592

Mailing address

1951 SW 172 Avenue
Suite 315
Miramar, FL 33029-5592
Phone (954) 507-4604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alicia.acon.1@11600.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP1-0015675TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Day OB GYN LLC Obstetrics & Gynecology Current Accepting new patients

Locations

1951 SW 172nd Ave
Ste 315
Miramar, FL 33029
Phone (954) 507-4604

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11600/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1295939882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172 AVENUE",
            "address_2": "SUITE 315",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295592",
            "telephone_number": "954-507-4604",
            "fax_number": "954-507-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172 AVENUE",
            "address_2": "SUITE 315",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295592",
            "telephone_number": "954-507-4604",
            "fax_number": "954-507-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACON NG",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP1-0015675",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME100481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alicia.acon.1@11600.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1951 SW 172 Avenue",
            "address_2": "Suite 315",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330295592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

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