Individual provider Active NPI

Joel S Shulman, MD

  • Cardiovascular Disease Physician
  • Plantation, FL
National Provider Identifier
1316917891
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME25889 Issued in FL
Practice address
333 NW 70TH Ave
#116
Plantation, FL 33317
Phone
(954) 581-6041
Fax
(954) 581-0222
NPI assigned
Jan 25, 2006
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME25889 FL Primary

Addresses

Primary practice location

333 NW 70TH Ave
#116
Plantation, FL 33317

Mailing address

333 NW 70TH Ave
#116
Plantation, FL 33317
Phone (954) 581-6041

Other identifiers 1

IdentifierTypeStateIssuer
371830100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000725 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567591431 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME25889FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg & Echo Readers Inc Cardiovascular Disease CurrentSince Aug 1, 1994 Accepting new patients
University Hospital Ekg Readers Inc Cardiovascular Disease CurrentSince Dec 6, 2009 Accepting new patients
South Florida Surgical Specialists LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

333 NW 70th Ave
Ste 116
Plantation, FL 33317
Phone (954) 371-2208

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1316917891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE",
            "address_2": "#116",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-581-6041",
            "fax_number": "954-581-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 70TH AVE",
            "address_2": "#116",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-581-6041",
            "fax_number": "954-581-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "JOEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME25889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371830100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.