Organization Active NPI

Al Nisa Inc

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1770513681
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 2589502 Issued in FL
Legal business name
AL NISA INC
Practice address
3939 Hollywood Blvd
Suite 3B
Hollywood, FL 33021-6749
Phone
(954) 237-6409
Fax
(954) 272-6012
NPI assigned
Jul 4, 2006
Last updated
Aug 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Ms. Josefina Patricia Munajj, ARNP/CNMNPI 1780650671
Title
President
Phone
(954) 237-6409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X ARNP 2589502 FL Primary

Addresses

Primary practice location

3939 Hollywood Blvd
Suite 3B
Hollywood, FL 33021-6749

Mailing address

3939 Hollywood Blvd
Suite 3B
Hollywood, FL 33021-6749
Phone (954) 237-6409

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1770513681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "SUITE 3B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-237-6409",
            "fax_number": "954-272-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "SUITE 3B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-237-6409",
            "fax_number": "954-272-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL NISA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "MUNAJJ",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-237-6409",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP/CNM"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2589502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.