Nula Medical Management, LLC – Specialist

Key facts

NPI: 1629666201
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
Legal business name: NULA MEDICAL MANAGEMENT, LLC
Practice address: 4090 W Whitewater Ave
Weston, FL 33332-2403
Phone: (954) 696-6232
NPI assigned: Jan 8, 2021
Organization subpart: No

Authorized official

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jeremy Gutersohn McCoy Other Specialist/Technologist · Weston, FL · NPI 1043807647

NPD
Lisa B Sussman, LCSW Clinical Social Worker · Weston, FL · NPI 1942185459

NPD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193200000X MULTI-SPECIALTY GROUP	174400000X			Yes

Addresses

Primary practice location

4090 W Whitewater Ave
Weston, FL 33332-2403

Mailing address

4090 W Whitewater Ave
Weston, FL 33332-2403

Other names

Nula Medical Management Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 8, 2021.

{
    "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

All providers in Weston, FL · Specialist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.