Lev Sudakov DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8450 Issued in FL

Legal business name

LEV SUDAKOV DC PA

Practice address

3800 S Ocean Dr Ste 230
Hollywood, FL 33019-2930

Phone

(954) 391-7864

Fax

(954) 391-8468

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lev Sudakov, DCNPI 1376540468

Title

President

Phone

(954) 391-7864

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ocean Drive Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Lev H Sudakov, DC

  • Chiropractor
  • Hallandale Beach, FL
  • NPI 1376540468
  Medicare reassignment NPD Authorized official
• Sandra Roldan, LMT

  • Massage Therapist
  • Hallandale Beach, FL
  • NPI 1174847321
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1457511172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 230",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192930",
            "telephone_number": "954-391-7864",
            "fax_number": "954-391-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 230",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192930",
            "telephone_number": "954-391-7864",
            "fax_number": "954-391-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEV SUDAKOV DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "SUDAKOV",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-391-7864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000170100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Drive Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Drive Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Leubitz, OTR
• Leung Health Care Hollywood Inc.
• Simon Leung, BS., M.S., PHARM.D.
• Lev & Learn Therapy LLC
• Lev Pediatrics LLC
• Kimberly Carlisle Leveille
• Rachel Sami Levenbaum
• Tamar Leah Levene, MD
• Tia S Leverett, LM, CPM
• Lora Levi

• Chiropractor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.