Organization Active NPI

Gynecologic Oncology & Urogynecology

  • Gynecologic Oncology Physician
  • Hollywood, FL
National Provider Identifier
1487168233
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME50821 Issued in FL
Legal business name
GYNECOLOGIC ONCOLOGY & UROGYNECOLOGY
Practice address
4651 Sheridan St Ste 470
Hollywood, FL 33021-3437
Phone
(954) 986-6667
Fax
(954) 893-8459
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Dr. Hoa Ngoc Nguyen, MDNPI 1669452983
Title
Owner/Medical Director
Phone
(954) 986-6667

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
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X ME50821 FL Primary

Addresses

Primary practice location

4651 Sheridan St Ste 470
Hollywood, FL 33021-3437

Mailing address

4651 Sheridan St Ste 470
Hollywood, FL 33021-3437
Phone (954) 986-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712002911 FL Part B Supplier - Clinic/Group Practice 3971859497 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0946809Gynecologic Oncology & Urogynecology4651 Sheridan St, Suite 470, Hollywood, FL 33021Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1487168233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 470",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213437",
            "telephone_number": "954-986-6667",
            "fax_number": "954-893-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 470",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213437",
            "telephone_number": "954-986-6667",
            "fax_number": "954-893-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC ONCOLOGY & UROGYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOA",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-986-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME50821",
            "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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.