Ageless Body by New Science LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH 11660 Issued in FL

Legal business name

AGELESS BODY BY NEW SCIENCE LLC

Practice address

2500 E Hallandale Beach Blvd Ste 406
Hallandale Beach, FL 33009-4837

Phone

(954) 990-0302

Fax

(954) 908-7101

NPI assigned

Feb 23, 2016

Last updated

Mar 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo Presas, MEDICAL DOCTOR

Title

Director

Phone

(954) 990-0302

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maha Naim, M.D

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1427232750
  Medicare reassignment Care Compare group NPD
• Inna S Trakhtenberg, D.C.

  • Chiropractor
  • Hallandale Beach, FL
  • NPI 1851430102
  Medicare reassignment Care Compare group NPD
• Anatoly Spektor, OTR

  • Occupational Therapist
  • Woodside, NY
  • NPI 1487847364

  FL

  Medicare reassignment Care Compare group NPD
• Marina Fay, PA-C

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1679897011

  FL

  Medicare reassignment Care Compare group
• Valentyna Nesterova, PT

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1568628113
  Medicare reassignment NPD
• Elina Kaganovsky

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1205867140

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1760841472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 406",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094837",
            "telephone_number": "954-990-0302",
            "fax_number": "954-755-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 406",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094837",
            "telephone_number": "954-990-0302",
            "fax_number": "954-908-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS BODY BY NEW SCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "PRESAS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-990-0302",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH 11660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760841472",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL OFFICE",
            "identifier": "1760841472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aevum Therapy & Consulting, LLC.
• Mark Aferzon, MD
• Affordable Foot and Leg, LLC
• Affordable Hearing AIDS
• Victoria Agarkova I, RBT
• Ageless Body Clinic, LLC
• Agm Behavioral Services LLC
• Alejandro Lazaro Agramonte Salgado
• Ronal Agramonte
• Ronald Jose Agramonte

• Nutrition Chiropractor in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.