Venture Gastroenterology LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

VENTURE GASTROENTEROLOGY LLC

Practice address

16855 NE 2ND Ave
Suite 300
North Miami Beach, FL 33162-1744

Phone

(305) 654-4488

Fax

(305) 654-8157

NPI assigned

Aug 7, 2012

Last updated

Nov 8, 2021By 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

Andrew E Nullman, MDNPI 1912939208

Title

President

Phone

(305) 534-4404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Venture Gastroenterology LLC

  • Gastroenterology Physician
  • Hallandale Beach, FL
  • NPI 1720335995

  O20130116000374

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Andrew E Nullman, M.D.

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1912939208
  Medicare reassignment Care Compare group NPD Authorized official
• Marwan Iskandarani, M.D.

  • Gastroenterology Physician
  • North Miami Beach, FL
  • NPI 1255386470
  Medicare reassignment Care Compare group NPD
• Gordon George Souaid, M.D.

  • Gastroenterology Physician
  • Hallandale Beach, FL
  • NPI 1740234988
  NPD

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1578810743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 REGATTA AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404234",
            "telephone_number": "305-654-4488",
            "fax_number": "305-654-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 300",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-654-4488",
            "fax_number": "305-654-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 NW 168th St",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331696027",
            "country_code": "US",
            "telephone_number": "305-654-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 NW 95th St Ste 412",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502067",
            "country_code": "US",
            "telephone_number": "305-534-4404",
            "fax_number": "305-691-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VENTURE GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "NULLMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-534-4404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katia Vernord, MD
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• Makieshav Antoinette Victor
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• Gastroenterology Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.