NPIMap

Organization Active NPI

Mason Hershorin MSN Arnp Inc.

Doing business as Medical Practitioner Healthsystems

  • Case Manager/Care Coordinator
  • Davie, FL
National Provider Identifier
1710335310
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MASON HERSHORIN MSN ARNP INC.
Doing business as
Medical Practitioner Healthsystems
Practice address
4217 SW 64TH Ave
Suite #1
Davie, FL 33314-3446
Phone
(954) 432-1812
NPI assigned
May 25, 2016
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Nicolas Nieto, MA
Title
Medical Assistant
Phone
(954) 432-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL Primary

Addresses

Primary practice location

4217 SW 64TH Ave
Suite #1
Davie, FL 33314-3446

Mailing address

4217 SW 64TH Ave
Suite #1
Davie, FL 33314-3446
Phone (954) 432-1812

Other names 1

  • Medical Practitioner Healthsystems Doing business as

National Provider Directory

National Provider Directory

Locations

4217 SW 64th Ave
Ste 1
Davie, FL 33314
Phone (954) 432-1812

Practitioners & affiliated clinicians

Practitioners 5

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": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1710335310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 SW 64TH AVE",
            "address_2": "SUITE #1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143446",
            "telephone_number": "954-432-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SW 64TH AVE",
            "address_2": "SUITE #1",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143446",
            "telephone_number": "954-432-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON HERSHORIN MSN ARNP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "954-432-1812",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Practitioner Healthsystems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.