Active NPI
Nneka S. Amaizu, M.D.
- Neonatal-Perinatal Medicine Physician
- Coral Gables, FL
National Provider Identifier
1598840167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- ME 94817
- Practice address
- 215 Grand Ave
Coral Gables, FL 33133-4841 - Phone
- (305) 441-7179
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036104033 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME94817 | FL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME 94817 | FL | Primary |
Addresses
Primary practice location
215 Grand Ave
Coral Gables, FL 33133-4841
Mailing address
215 Grand Ave
Coral Gables, FL 33133-4841
Phone (305) 441-7179
Other practice location 1
3030 Martin Luther King Jr Boulevard
Tampa, FL 33607
Phone (813) 872-2924
Other practice location 2
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 839-2324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274986600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 94817 | FL | MD | Neonatal-Perinatal Medicine Physician |
| ME94817 | FL | MD | Neonatal-Perinatal Medicine Physician |
| 036104033 | IL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Dade Neonatology | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neonatal-Perinatal Medicine Physician
- Coral Gables, FL
- NPI 1841369006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598840167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 GRAND AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331334841",
"telephone_number": "305-441-7179",
"fax_number": "305-448-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 GRAND AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331334841",
"telephone_number": "305-441-7179"
}
],
"practiceLocations": [
{
"address_1": "3030 Martin Luther King Jr Boulevard",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "33607",
"country_code": "US",
"telephone_number": "813-872-2924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13001 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Loxahatchee",
"state": "FL",
"postal_code": "334709203",
"country_code": "US",
"telephone_number": "561-839-2324",
"fax_number": "561-345-7139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMAIZU",
"first_name": "NNEKA",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036104033",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME94817",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME 94817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274986600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.