Organization Active NPI

Nicholas D a Suite MD Neurology LLC

  • Medical Specialty Clinic/Center
  • Hollywood, FL
National Provider Identifier
1467627208
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 59343 Issued in FL
Legal business name
NICHOLAS D A SUITE MD NEUROLOGY LLC
Practice address
7900 NW 33Rd St Ste 101
Hollywood, FL 33024-2209
Phone
(954) 431-6884
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Nicholas SuiteNPI 1447330048
Title
President
Phone
(954) 431-6884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 59343 FL Primary

Addresses

Primary practice location

7900 NW 33Rd St Ste 101
Hollywood, FL 33024-2209

Mailing address

7900 NW 33Rd St Ste 101
Hollywood, FL 33024-2209

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1467627208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NW 33RD ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 33RD ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242209",
            "telephone_number": "954-431-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS D A SUITE MD NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SUITE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-431-6884"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 59343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 2008; 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.