Necmo PA

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

NECMO PA

Practice address

250 N Wickham Rd
Melbourne, FL 32935-8625

Phone

(321) 752-1331

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By 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

Dr. Bijan Nik Moradi, MDNPI 1376863811

Title

Ceo

Phone

(202) 713-5818

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bijan Nik Moradi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1376863811
  NPD Authorized official

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1619507209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 WILD WATER CV",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358625",
            "telephone_number": "321-752-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECMO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "MORADI",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_middle_name": "NIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-713-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayar Health Care Melbourne LLC
• Amy Michelle Nayfield, APRN
• Cory Louis Nayfield
• Idara Ndoh
• Danielle Neal, LCSW
• Emily S Neel, PA
• James W Neel, MD
• Kenneth W Neely, M.D.
• Laura Rae Neil, CPHT
• Sarah Anne Neilly, M.D.

• Critical Care Medicine (Internal Medicine) Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.