Organization Active NPI

Nexus Arizona LLC

  • Public Health or Welfare Agency
  • Phoenix, AZ
National Provider Identifier
1679164479
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NEXUS ARIZONA LLC
Practice address
5223 N 24TH St Apt 204
Phoenix, AZ 85016-3526
Phone
(702) 355-2695
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Mr. James Demasi
Title
Director
Phone
(702) 355-2695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

5223 N 24TH St Apt 204
Phoenix, AZ 85016-3526

Mailing address

5223 N 24TH St Apt 204
Phoenix, AZ 85016-3526
Phone (702) 355-2695

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1679164479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 N 24TH ST APT 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163526",
            "telephone_number": "702-355-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 N 24TH ST APT 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163526",
            "telephone_number": "702-355-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "DEMASI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-355-2695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.