Individual provider Active NPI

Nneka S. Amaizu, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1598840167
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME 94817 Issued in FL
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
274986600MedicaidFL

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

LicenseStateTypeSpecialty
ME 94817FLMDNeonatal-Perinatal Medicine Physician
ME94817FLMDNeonatal-Perinatal Medicine Physician
036104033ILMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.