Organization Active NPI

Ringside MDS LLC

  • General Practice Physician
  • Wellington, FL
National Provider Identifier
1518672385
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RINGSIDE MDS LLC
Practice address
14440 Pierson Rd
Wellington, FL 33414-7673
Phone
(561) 247-2373
Fax
(561) 823-3495
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Dr. Jason Mathew Hechtman, MD
Title
Managing Member
Phone
(561) 247-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

14440 Pierson Rd
Wellington, FL 33414-7673

Mailing address

125 S State Rd 7 Suite 104 #116
Wellington, FL 33414
Phone (561) 247-2373

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
10D2273954Ringside MDS PLLC14440 Pierson Road, Wellington, FL 33414Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

125 S State Road 7
Ste 104
Wellington, FL 33414
Phone (561) 203-5867

14440 Pierson Rd
Wellington, FL 33414
Phone (561) 247-2373

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1518672385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S STATE RD 7 SUITE 104 #116",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-247-2373",
            "fax_number": "561-823-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 PIERSON RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147673",
            "telephone_number": "561-247-2373",
            "fax_number": "561-823-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINGSIDE MDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HECHTMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-247-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.