Active NPI
Nicha Monique Cumberbatch, PA-C
- Physician Assistant
- Tamarac, FL
National Provider Identifier
1770907313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9108593
- Practice address
- 7710 NW 71St CT Ste 205
Tamarac, FL 33321-2931 - Phone
- (954) 747-1221
- Fax
- (954) 747-1231
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9108593 | FL | Primary |
Addresses
Primary practice location
7710 NW 71St CT Ste 205
Tamarac, FL 33321-2931
Mailing address
10157 Ramblewood Dr
Coral Springs, FL 33071-6509
Phone (954) 560-7711
Other names 1
- Nicha Cumberbatch
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7710 NW 71St CT
Suite 201
Tamarac, FL 33321-2931
Phone (954) 747-1221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108593 | FL | MD | Physician Assistant |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1770907313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10157 RAMBLEWOOD DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716509",
"telephone_number": "954-560-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 NW 71ST CT STE 205",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212931",
"telephone_number": "954-747-1221",
"fax_number": "954-747-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBERBATCH",
"first_name": "NICHA",
"middle_name": "MONIQUE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHA",
"last_name": "CUMBERBATCH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.