Individual provider Active NPI

Joel Nathan, M.D.

  • Ophthalmology Physician
  • Coconut Creek, FL
National Provider Identifier
1477567311
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0062339 Issued in FL
Practice address
4400 W Sample Rd
Suite 154
Coconut Creek, FL 33073-3470
Phone
(954) 782-9330
Fax
(954) 977-7401
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0062339 FL Primary

Addresses

Primary practice location

4400 W Sample Rd
Suite 154
Coconut Creek, FL 33073-3470

Mailing address

4400 W Sample Rd
Suite 154
Coconut Creek, FL 33073-3470
Phone (954) 782-9330

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001296 FL Practitioner - Ophthalmology 8426120247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4400 W Sample Rd
Suite 154
Coconut Creek, FL 33073-3458
Phone (954) 782-9330

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062339FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Township Eye Associates of Coconut Creek., P.a. Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients

Locations

4400 W Sample Rd
Ste 154
Coconut Creek, FL 33073
Phone (954) 782-9330

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1477567311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD",
            "address_2": "SUITE 154",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733470",
            "telephone_number": "954-782-9330",
            "fax_number": "954-977-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD",
            "address_2": "SUITE 154",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733470",
            "telephone_number": "954-782-9330",
            "fax_number": "954-977-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0062339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.