Individual provider Active NPI

Nadia Deborah Taylor, M.D.

  • Pediatric Hematology & Oncology Physician
  • Hollywood, FL
National Provider Identifier
1689774382
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
056229 Issued in GA
Practice address
1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721
Phone
(954) 758-4429
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 056229 GA
Pediatrics Physician 208000000X ME151097 FL
Pediatric Adolescent Medicine Physician 2080A0000X ME151097 FL
Pediatric Obesity Medicine Physician 2080B0002X ME151097 FL
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X ME151097 FL
General Practice Physician 208D00000X 056229 GA
Pediatric Hematology & Oncology Physician 2080P0207X 056229 GA Primary

Addresses

Primary practice location

1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721

Mailing address

1685 S State Road 7 Ste 4
Hollywood, FL 33023-6721
Phone (954) 758-4429

Other identifiers 2

IdentifierTypeStateIssuer
385754109MMedicaidGA
111811700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012001355 FL Practitioner - Hematology/OncologyPractitioner - General Practice 6406900125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Wake Forest University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1685 S State Rd
7 Unit 4
Hollywood, FL 33084-9998
Phone (954) 397-3251

2350 N University Dr
Unit 841224
Pembroke Pines, FL 33084-9998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056229GAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Sickle Cell Disease Research Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Gim Enterprises LLC Single Specialty PastSince Dec 1, 2020 Accepting new patients

Locations

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1689774382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 S STATE ROAD 7 STE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236721",
            "telephone_number": "954-758-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S STATE ROAD 7 STE 4",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236721",
            "telephone_number": "954-758-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NADIA",
        "middle_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "056229",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME151097",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME151097",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "FL",
            "license": "ME151097",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME151097",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "056229",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "GA",
            "license": "056229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385754109M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111811700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.