Organization Active NPI

Nelson L. Hadler, LLC

  • Multi-Specialty Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1346764354
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NELSON L. HADLER, LLC
Practice address
8192 College Pkwy Ste B52
Fort Myers, FL 33919-5179
Phone
(973) 713-7951
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Nelson L Hadler, LCSWNPI 1952748980
Title
Owner
Phone
(973) 713-7957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8192 College Pkwy Ste B52
Fort Myers, FL 33919-5179

Mailing address

4118 NW 11TH Ter
Cape Coral, FL 33993-9144
Phone (973) 713-7957

Other names 1

  • Nelson L. Hadler, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210819000258 FL Part B Supplier - Clinic/Group Practice 4284039934 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL
O20230328002646 FL Part B Supplier - Clinic/Group Practice 9133593411 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory
Tax ID family
Nelson L Hadler LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8192 College Pkwy
Ste B52
Fort Myers, FL 33919
Phone (973) 713-7951

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1346764354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 NW 11TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339939144",
            "telephone_number": "973-713-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 COLLEGE PKWY STE B52",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195179",
            "telephone_number": "973-713-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON L. HADLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HADLER",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-713-7957",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson L. Hadler, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.