Universal Physical Medicine Associates Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

UNIVERSAL PHYSICAL MEDICINE ASSOCIATES INC

Practice address

3501 Johnson St
Hollywood, FL 33021-5421

Phone

(954) 987-2000

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Ariel A Inocentes, MDNPI 1518992106

Title

Owner

Phone

(954) 340-7041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Universal Physical Medicine Associates Inc

  • Physical Medicine & Rehabilitation Physician
  • North Miami Beach, FL
  • NPI 1669730164

  O20081220000085

  Same enrollment

Tax ID family

Universal Physical Medicine Associates Inc2 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.

• Universal Physical Medicine Associates Inc

  • Physical Medicine & Rehabilitation Physician
  • North Miami Beach, FL
  • NPI 1669730164
  NPD tax ID

Practitioners 2

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

• Ariel Inocentes, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Parkland, FL
  • NPI 1518992106
  Medicare reassignment NPD Authorized official
• Mary Jean S. Deguzman, MD

  • Dermatopathology (Pathology) Physician
  • Pompano Beach, FL
  • NPI 1275518201
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1396997904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 NW 67TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330761961",
            "telephone_number": "954-340-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421",
            "telephone_number": "954-987-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHYSICAL MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "INOCENTES",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-340-7041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Universal Medical Supplies, LLC
• University Dialysis Center III LLC
• University Dr Medical Office
• University Dr. Medical Office Corp.
• Prashant Rajesh Upadhyaya, MD
• Uplift Healthcare Inc

• Physical Medicine & Rehabilitation Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.