Individual provider Active NPI

Niccolo Restivo, PA-C

  • Physician Assistant
  • Pinecrest, FL
National Provider Identifier
1548815848
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112455 Issued in FL
Practice address
6885 SW 98TH St
Pinecrest, FL 33156-3044
Phone
(305) 962-7714
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112455 FL Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

6885 SW 98TH St
Pinecrest, FL 33156-3044

Mailing address

6885 SW 98TH St
Pinecrest, FL 33156-3044
Phone (305) 962-7714

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025001793 FL Practitioner - Physician Assistant 0941532840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 559-1883

11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 854-4400

6705 Sw57Th Ave
Suite 504
South Miami, FL 33143-3644
Phone (305) 669-7332

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112455FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC CurrentSince Dec 1, 2025 Accepting new patients
Baptist Health Medical Group Physicians LLC Past Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients

Locations

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

1924 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 357-0540

1825 SE Tiffany Ave
Ste 101
Port St Lucie, FL 34952
Phone (772) 219-4026

6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331

Interoperability endpoints

  • Direct secure messaging: nic26693@cerner.directbaptisthealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1548815848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 SW 98TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563044",
            "telephone_number": "305-962-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 SW 98TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331563044",
            "telephone_number": "305-962-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIVO",
        "first_name": "NICCOLO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112455",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

Verify at the official NPI Registry.