Active NPI
Niccolo Restivo, PA-C
- Physician Assistant
- Pinecrest, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112455 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach General Surgery LLC | Current | 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
- 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.
-
- Surgery Physician
- Loxahatchee, FL
- NPI 1235326760
-
- Specialist
- Miami, FL
- NPI 1891893343
-
- Surgery Physician
- Atlantis, FL
- NPI 1710040266
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.