Nicolas Massimini, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9104268 Issued in FL

Practice address

2015 NW 1St Ave
Miami, FL 33127-4901

Phone

(305) 572-2026

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1750511481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331274901",
            "telephone_number": "305-572-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIMINI",
        "first_name": "NICOLAS",
        "name_prefix": "Prof.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9104268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Giselle Masso Garcia
• Dina Masso
• Miler Masson Boucourt
• Puneet Masson, MD
• Franklyn Massop, PSY. S., NCSP

• Medical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.