Organization Active NPI

New Life Maternity and Womens Center

  • Obstetrics & Gynecology Physician
  • Lighthouse Point, FL
National Provider Identifier
1700808805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME43336 Issued in FL
Legal business name
NEW LIFE MATERNITY AND WOMENS CENTER
Practice address
2100 East Sample Road
Suite 201
Lighthouse Point, FL 33064
Phone
(954) 781-0180
Fax
(954) 781-3230
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony A Chidiac, MD
Title
MD
Phone
(954) 781-0180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME43336 FL Primary

Addresses

Primary practice location

2100 East Sample Road
Suite 201
Lighthouse Point, FL 33064

Mailing address

2100 East Sample Road
Suite 201
Lighthouse Point, FL 33064
Phone (954) 781-0180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700808805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EAST SAMPLE ROAD",
            "address_2": "SUITE 201",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-781-0180",
            "fax_number": "954-781-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EAST SAMPLE ROAD",
            "address_2": "SUITE 201",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-781-0180",
            "fax_number": "954-781-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MATERNITY AND WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIDIAC",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-781-0180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME43336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.