Active NPI
Carmen Livia Dobrescu, M.D.
- Psychiatry Physician
- Hollywood, FL
National Provider Identifier
1457676918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME138365
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 593-6223
- Fax
- (754) 888-9979
- NPI assigned
- Mar 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME138365 | FL | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
511 Leslie Dr
Hallandale Beach, FL 33009-2952
Phone (954) 593-6223
Other practice location 1
1001 N Federal Hwy Ste 363
Hallandale Beach, FL 33009-2407
Phone (954) 593-6223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103678100 | Medicaid | FL |
Other names 1
- Carmen Livia Macovei
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827002004 | FL | Practitioner - Psychiatry | 4082854344 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Shores Psychiatry, LLC | Single Specialty | Current | Accepting new patients |
Locations
1001 N Federal Hwy
Ste 363
Hallandale Beach, FL 33009
Phone (954) 228-5603
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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": "1269734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1457676918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 LESLIE DR",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092952",
"telephone_number": "954-593-6223",
"fax_number": "754-888-9979"
},
{
"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": "954-593-6223",
"fax_number": "754-888-9979"
}
],
"practiceLocations": [
{
"address_1": "1001 N Federal Hwy Ste 363",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "330092407",
"country_code": "US",
"telephone_number": "954-593-6223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBRESCU",
"first_name": "CARMEN",
"middle_name": "LIVIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-28",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME138365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103678100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "MACOVEI",
"middle_name": "LIVIA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.