Active NPI
Ringside MDS LLC
- General Practice Physician
- Wellington, FL
National Provider Identifier
1518672385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2273954 | Ringside MDS PLLC | Certificate of waiver | Dec 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.