Individual provider Active NPI

Doris B Newman, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Wilton Manors, FL
National Provider Identifier
1740265529
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS10904 Issued in FL
Practice address
1201 NE 26TH St Ste 109
Wilton Manors, FL 33305-1206
Phone
(954) 381-7334
Fax
(888) 809-1631
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1675 ME
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS10904 FL Primary

Addresses

Primary practice location

1201 NE 26TH St Ste 109
Wilton Manors, FL 33305-1206

Mailing address

1201 NE 26TH St Ste 109
Wilton Manors, FL 33305-1206
Phone (954) 381-7334

Other practice location 1

3700 Washington St Ste 401
Hollywood, FL 33021-8249
Phone (954) 955-6622

Other identifiers 2

IdentifierTypeStateIssuer
329510099MedicaidME
30224294MedicaidNH

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
I20100520001006 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - General Practice 5890738017 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University CurrentSince Apr 1, 2010 Accepting new patients
Ocean Health Care Group CurrentSince Jan 1, 2022 Accepting new patients
Osteopathic Medical Arts Center of South Florida LLC Neuromusculoskeletal Medicine & Omm CurrentSince Feb 23, 2019 Accepting new patients
Nova Southeastern University Inc. CurrentSince Apr 1, 2010 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
University of New England Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

2715 E Oakland Park Blvd
Ste 101
Ft Lauderdale, FL 33306
Phone (954) 530-9498

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

3700 Washington St
Ste 401
Hollywood, FL 33021
Phone (954) 955-6622

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

1201 NE 26th St
Ste 109
Wilton Manors, FL 33305
Phone (954) 381-7334

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1740265529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 109",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-381-7334",
            "fax_number": "888-809-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 109",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-381-7334",
            "fax_number": "888-809-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218249",
            "country_code": "US",
            "telephone_number": "954-955-6622",
            "fax_number": "888-809-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "DORIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1675",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS10904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329510099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30224294",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.