Individual provider Active NPI

Nathan Mayl, M.D.

  • Specialist
  • Ft Lauderdale, FL
National Provider Identifier
1699705376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME15267 Issued in FL
Practice address
6405 N Federal Hwy
Suite 200
Ft Lauderdale, FL 33308-1412
Phone
(954) 771-3100
Fax
(954) 772-8171
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME15267 FL Primary

Addresses

Primary practice location

6405 N Federal Hwy
Suite 200
Ft Lauderdale, FL 33308-1412

Mailing address

6405 N Federal Hwy
Suite 200
Ft Lauderdale, FL 33308-1412
Phone (954) 771-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME15267FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699705376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 200",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-771-3100",
            "fax_number": "954-772-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 200",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-771-3100",
            "fax_number": "954-772-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYL",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME15267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.