Individual provider Active NPI

David J Seiden, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Pembroke Pines, FL
National Provider Identifier
1710059175
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
ME69901 Issued in FL
Practice address
700 N Hiatus Rd Ste 203
Pembroke Pines, FL 33026
Phone
(954) 367-5166
Fax
(954) 639-7799
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME69901 FL
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X ME69901 FL Primary

Addresses

Primary practice location

700 N Hiatus Rd Ste 203
Pembroke Pines, FL 33026

Mailing address

9960 NW 116TH Way
Suite 13
Medley, FL 33178-1167
Phone (786) 924-1311

Other identifiers 1

IdentifierTypeStateIssuer
379832100MedicaidFL

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
I20091109000233 FL Practitioner - Sleep MedicinePractitioner - Neurology 1456499631 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Feb 2, 2011 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Feb 2, 2011 Accepting new patients
Baptist Sleep Center at Galloway PastSince Mar 17, 2011 Accepting new patients

Locations

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Organizations & group practices 3

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1710059175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781167",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD STE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-367-5166",
            "fax_number": "954-639-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME69901",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": "ME69901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379832100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.