Individual provider Active NPI

Neal P Wittels, M.D.

  • Ambulatory Surgical Clinic/Center
  • Miami, FL
National Provider Identifier
1740306554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ME0037061 Issued in FL
Practice address
16400 NW 2ND Ave
102
Miami, FL 33169-6035
Phone
(305) 940-6750
Fax
(305) 940-9222
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ME0037061 FL Primary

Addresses

Primary practice location

16400 NW 2ND Ave
102
Miami, FL 33169-6035

Mailing address

16400 NW 2ND Ave
102
Miami, FL 33169-6035
Phone (305) 940-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0037061FLMDAmbulatory Surgical Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740306554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 NW 2ND AVE",
            "address_2": "102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696035",
            "telephone_number": "305-940-6750",
            "fax_number": "305-940-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 NW 2ND AVE",
            "address_2": "102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696035",
            "telephone_number": "305-940-6750",
            "fax_number": "305-940-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTELS",
        "first_name": "NEAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "ME0037061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.