Individual provider Active NPI

Nicholas Suite

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1447330048
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5315029864 Issued in MI
Practice address
1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936
Phone
(305) 701-9901
Fax
(305) 701-9902
NPI assigned
Oct 17, 2006
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5315029864 MI Primary

Addresses

Primary practice location

1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936

Mailing address

1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936
Phone (305) 701-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040303000028 FL Practitioner - General PracticePractitioner - Neurology 8123915576 Reassigns benefits to 2 organizations
Practice locations: Miami, FL
I20251022003989 DC Practitioner - NeurologyPractitioner - Psychiatry 8123915576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Johns Hopkins University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2063 NE 182ND St
Suite 18
North Miami Beach, FL 33162-1627

4818 Kipper Dr
Moseley, VA 23120-2221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315029864MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Mobile Medicine LLC CurrentSince Jul 2, 2021 Accepting new patients
QMG, LLC CurrentSince Sep 1, 2023 Accepting new patients
Icare Mobile Wound Care VA PLLC CurrentSince Oct 1, 2025 Accepting new patients
Reliance Medical Rehabilitation, LLC Past Accepting new patients
Nag Xpress Past Accepting new patients
Nicholas D a Suite MD Neurology LLC PastSince Nov 18, 2008 Accepting new patients
Radiology Consultants of Hollywood Inc PastSince Sep 1, 2023 Accepting new patients
Northstar Health Inc PastSince May 29, 2023 Accepting new patients
Neurology Associates Group PastSince Jan 13, 2000 Accepting new patients

Locations

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Fl 2
Hollywood, FL 33020
Phone (954) 927-1776

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

2525 Embassy Dr
Ste 5
Hollywood, FL 33026
Phone (786) 661-7830

1150 NW 72nd Ave
Ph
Miami, FL 33126
Phone (305) 591-1606

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

106 Elden St
Ste 18B
Herndon, VA 20170
Phone (305) 701-9901

Organizations & group practices 9

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1447330048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-701-9901",
            "fax_number": "305-701-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "305-701-9901",
            "fax_number": "305-701-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITE",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5315029864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.