Individual provider Active NPI

Alexa Magliulo, PA-C

  • Surgical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1730709379
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9115194 Issued in FL
Practice address
1995 E Oakland Park Blvd Ste 310
Fort Lauderdale, FL 33306-1138
Phone
(954) 791-6146
Fax
(954) 337-2733
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA9115194 FL Primary

Addresses

Primary practice location

1995 E Oakland Park Blvd Ste 310
Fort Lauderdale, FL 33306-1138

Mailing address

PO Box 936535
Atlanta, GA 31193-6535
Phone (954) 791-6146

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
I20211201000101 FL Practitioner - Physician Assistant 8527458843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Pierce Orthopaedics LLCGroup PAC ID 2062515018, 19 clinicians

Practice addresses (Care Compare)

1700 S 23Rd St
HCA Florida Lawnwood Hospital
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

3476 S University Dr
HCA Florida University Hospital
Davie, FL 33328-2000
Phone (954) 475-4400

7201 N University Dr
HCA Florida Woodmont Hospital
Tamarac, FL 33321-2913
Phone (954) 721-2200

7225 N University Dr
Suite 102
Tamarac, FL 33321-2908
Phone (954) 724-3400

7630 SW 34TH MNR
Suite 300
Davie, FL 33328-1985
Phone (954) 472-5969

8201 W Broward Blvd
HCA Florida Westside Hospital
Plantation, FL 33324-2701
Phone (954) 473-6600

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 724-3400

Hospital & facility affiliations

  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9115194FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Neurosurgeons LLC PastSince Sep 18, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: alexa.magliulo@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1730709379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936535",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936535",
            "telephone_number": "954-791-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD STE 310",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061138",
            "telephone_number": "954-791-6146",
            "fax_number": "954-337-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIULO",
        "first_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9115194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.