Chen Neighborhood Medical North Lauderdale LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHEN NEIGHBORHOOD MEDICAL NORTH LAUDERDALE LLC

Practice address

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811

Phone

(954) 379-8994

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Mary Chen

Title

Chief Operating Officer

Phone

(305) 621-0023

Specialties & licenses 1

Addresses

Other names 1

• CHEN MEDICAL ASSOCIATES INC Other name

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1457722696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695742",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL NORTH LAUDERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "305-621-0023"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEN MEDICAL ASSOCIATES INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marsha Charles
• Nitha Charles, ASPECT MEDICAL
• Tarmicha Augustine Charles
• Zhilkenth Valeria Chavarria
• Chen Neighborhood Medical Centers of South Florida, LLC
• Rochelle Chetty
• Jaclyn Marie Chiodo, PHARMD
• Stephanie Chong, MBBS
• Steven W Cimerberg, D.O
• Billanove Brian Cineus

• Internal Medicine Physician in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.