NPIMap

Organization Active NPI

Nichi Surgical LLC

  • Surgery Physician
  • Pompano Beach, FL
National Provider Identifier
1700328440
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME107033 Issued in FL
Legal business name
NICHI SURGICAL LLC
Practice address
100 E Sample Rd
Suite 300
Pompano Beach, FL 33064-3554
Phone
(954) 495-1814
Fax
(954) 301-0720
NPI assigned
Nov 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Authorized official

Name
Igor N Nichiporenko, MD
Title
Owner
Phone
(954) 495-1814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME107033 FL Primary

Addresses

Primary practice location

100 E Sample Rd
Suite 300
Pompano Beach, FL 33064-3554

Mailing address

100 E Sample Rd
Suite 300
Pompano Beach, FL 33064-3554
Phone (954) 495-1814

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1700328440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "954-495-1814",
            "fax_number": "954-301-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "954-495-1814",
            "fax_number": "954-301-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHI SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "NICHIPORENKO",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-495-1814",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME107033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.