Individual provider Active NPI

Linda W NG, PA C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1720043821
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3265 Issued in FL
Practice address
1600 S Andrews Avenue
Atrium Building 1St Floor
Fort Lauderdale, FL 33316
Phone
(954) 760-7171
Fax
(954) 764-1722
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3265 FL Primary

Addresses

Primary practice location

1600 S Andrews Avenue
Atrium Building 1St Floor
Fort Lauderdale, FL 33316

Mailing address

PO Box 862851
Orlando, FL 32886-2851
Phone (954) 847-4273

Other identifiers 1

IdentifierTypeStateIssuer
116365800MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117001247 FL Practitioner - Physician Assistant 5698743615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3265FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ring Aviation Leasing LLC Physician Assistant CurrentSince Sep 22, 2023 Accepting new patients
Flos PA Past Accepting new patients
Sunrise Medical Group I, LLC PastSince Aug 23, 2020 Accepting new patients
Allergy & Asthma Associates of South Florida PA Past Accepting new patients
Allergy & Asthma Associates of South Florida PA Past Accepting new patients
My Home Doctor, LLC Past Accepting new patients

Organizations & group practices 6

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1720043821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862851",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862851",
            "telephone_number": "954-847-4273",
            "fax_number": "954-847-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVENUE",
            "address_2": "ATRIUM BUILDING 1ST FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-760-7171",
            "fax_number": "954-764-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "LINDA",
        "middle_name": "W",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116365800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.