Individual provider Active NPI

Nahzaya M Mendez, PA

  • Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1346517364
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3624 Issued in FL
Practice address
603 N Flamingo Rd Ste 251
Pembroke Pines, FL 33028-1013
Phone
(954) 430-3999
Fax
(954) 430-8999
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3624 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd Ste 251
Pembroke Pines, FL 33028-1013

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Other practice location 1

21150 Biscayne Blvd Ste 404
Aventura, FL 33180-1250
Phone (305) 466-9111

Other practice location 2

7100 W 20th Ave Ste G154
Hialeah, FL 33016-1813
Phone (305) 558-6518

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003003141 FL Practitioner - Physician Assistant 9032440177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

21150 Biscayne Blvd
Suite 104
Aventura, FL 33180-1231
Phone (305) 535-2170

2801 NE 213TH St
1001 Uro Medix
Aventura, FL 33180-1265
Phone (305) 466-9111

603 N Flamingo Rd
Suite 251
Pembroke Pines, FL 33028-1013
Phone (954) 430-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3624FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince May 13, 2024 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince May 13, 2024 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

2801 NE 213th St
Ste 1001
Aventura, FL 33180
Phone (305) 466-9111

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990

2160 Colonial Blvd
Fort Myers, FL 33907

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

7100 W 20th Ave
Ste G154
Hialeah, FL 33016
Phone (305) 558-6518

7150 W 20th Ave
Hialeah, FL 33016
Phone (305) 558-4035

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

21150 Biscayne Blvd
Ste 404
Miami, FL 33180
Phone (305) 466-9111

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

603 N Flamingo Rd
Ste 251
Pembroke Pnes, FL 33028
Phone (954) 430-3999

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nahzaya.mendez.d1.p1@direct.caremax.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1346517364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 251",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281013",
            "telephone_number": "954-430-3999",
            "fax_number": "954-430-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21150 Biscayne Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801250",
            "country_code": "US",
            "telephone_number": "305-466-9111",
            "fax_number": "305-466-9127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 W 20th Ave Ste G154",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161813",
            "country_code": "US",
            "telephone_number": "305-558-6518",
            "fax_number": "305-558-7519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "NAHZAYA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.