Active NPI
Emil Rene Nesrala, SA-C
- Surgical Assistant
- Plantation, FL
National Provider Identifier
1689283863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 20-305
- Practice address
- 20 Commodore Dr Apt 114
Plantation, FL 33325-2676 - Phone
- (954) 589-6066
- NPI assigned
- Jul 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 20-305 | Primary |
Addresses
Primary practice location
20 Commodore Dr Apt 114
Plantation, FL 33325-2676
Mailing address
20 Commodore Dr Apt 114
Plantation, FL 33325-2676
Phone (954) 589-6066
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NPSurgical@outlook.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1689283863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 COMMODORE DR APT 114",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252676",
"telephone_number": "954-589-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 COMMODORE DR APT 114",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252676",
"telephone_number": "954-589-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESRALA",
"first_name": "EMIL",
"middle_name": "RENE",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "20-305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NPSurgical@outlook.com",
"affiliation": "N",
"address_1": "20 Commodore Dr Apt 114",
"city": "Plantation",
"state": "FL",
"country_code": "US",
"postal_code": "333252676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.