New Identity Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW IDENTITY WELLNESS CENTER LLC

Practice address

14601 SW 29TH St Ste 107
Miramar, FL 33027-4715

Phone

(786) 804-9405

NPI assigned

May 20, 2020

Last updated

Oct 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caridad Hayes

Title

Officer

Phone

(954) 589-1971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Magda Erira, MSW

  • Psychologist
  • Coral Gables, FL
  • NPI 1407223993
  Medicare reassignment NPD
• Nelson D Hernandez, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1285625079
  Medicare reassignment NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1558984971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 107",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "954-589-1971",
            "fax_number": "305-317-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 SW 29TH ST STE 107",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274715",
            "telephone_number": "786-804-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IDENTITY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-589-1971"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ilana Mara Newman, M.D.
• Stephanie B. Newsom, MD
• Dennis NG, M.D.
• Huan T Ngo, M.D.
• Ngozi Ezeude DPM PA

• Community/Behavioral Health Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.