Nicklaus Children'S Pediatric Specialists, LLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Practice address

10383 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3782

Phone

(561) 799-7272

Fax

(561) 799-7274

NPI assigned

Jun 30, 2017

Organization subpart

Yes

Parent organization

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLCAs reported in NPPES

Name

Marcos Mestre, MD

Title

SVP

Phone

(305) 666-6511

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Miami Children'S Hosptial32 organizations share this tax ID

Part of

Pediatric Specialty Group Inc

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

• CMS/MCH Primary Care Program

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1104895424
  NPD tax ID
• CMS/MCH Primary Care Program

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1235173402
  NPD tax ID
• Magic Mile Rehab

  • Early Intervention Provider Agency
  • Miami, FL
  • NPI 1215222385
  NPD tax ID
• Miami Children'S Hospital

  • Case Management Agency
  • Palmetto Bay, FL
  • NPI 1104072602
  NPD tax ID
• Miami Children'S Hospital

  • Special Hospital
  • Miami, FL
  • NPI 1245591882
  NPD tax ID
• Miami Children'S Hospital

  • Children's Rehabilitation Hospital
  • Doral, FL
  • NPI 1396995676
  NPD tax ID
• Miami Children'S Hospital

  • Early Intervention Provider Agency
  • Palmetto Bay, FL
  • NPI 1477709970
  NPD tax ID
• Miami Children'S Hospital

  • Children's Hospital
  • Miami, FL
  • NPI 1700165529
  NPD tax ID
• Miami Children'S Hospital

  • Children's Hospital
  • Village of Palmetto Bay, FL
  • NPI 1710073515
  NPD tax ID
• Miami Children'S Hospital

  • Pediatric Dentistry
  • Doral, FL
  • NPI 1972545879
  NPD tax ID
• Miami Children'S Hosptial

  • Developmental Disabilities Clinic/Center
  • Village of Palmetto Bay, FL
  • NPI 1609970185
  NPD tax ID
• Miami Childrens Hospital

  • Institutional Pharmacy
  • Miami, FL
  • NPI 1679509459
  NPD tax ID

• Nicklaus Children's Boynton Beach Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2025.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1316468259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-666-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10383 HAGEN RANCH RD STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373782",
            "telephone_number": "561-799-7272",
            "fax_number": "561-799-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC",
        "enumeration_date": "2017-06-30",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "MESTRE",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "305-666-6511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicklaus Children's Boynton Beach Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Diep Nguyen, AGPCNP-BC
• Thomas Nguyen, M.D.
• Tim Nguyen
• Kathy Renee Nichelson, P.T.A.
• Nicholas G. Kaleel DMD PA
• Brandon Nicol
• Nicole Wellness Care LLC
• Emily Nicoli, CRNP
• Thomas MJ Niederman, MD,PHD
• Nielsen Dermatology LLC

• All providers in Boynton Beach, FL
• Pediatric Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.