Organization Active NPI

Nula Medical Management, LLC

Doing business as Nula Medical Management

  • Specialist
  • Weston, FL
National Provider Identifier
1629666201
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NULA MEDICAL MANAGEMENT, LLC
Doing business as
Nula Medical Management
Practice address
4090 W Whitewater Ave
Weston, FL 33332-2403
Phone
(954) 696-6232
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Mr. Jeremy Gutersohn-McCoy
Title
VP of Finance
Phone
(305) 345-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4090 W Whitewater Ave
Weston, FL 33332-2403

Mailing address

4090 W Whitewater Ave
Weston, FL 33332-2403

Other names 1

  • Nula Medical Management Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1629666201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 W WHITEWATER AVE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 W WHITEWATER AVE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322403",
            "telephone_number": "954-696-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULA MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "GUTERSOHN-MCCOY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "305-345-7350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nula Medical Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.