Active NPI
Daniel Igal Nuchovich, M.D.
- Internal Medicine Physician
- Jupiter, FL
National Provider Identifier
1790747806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0053694
- Practice address
- 175 Toney Penna Dr
Suite 101
Jupiter, FL 33458-5755 - Phone
- (561) 746-2033
- Fax
- (561) 744-5349
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0053694 | FL | Primary |
Addresses
Primary practice location
175 Toney Penna Dr
Suite 101
Jupiter, FL 33458-5755
Mailing address
175 Toney Penna Dr
Suite 101
Jupiter, FL 33458-5755
Phone (561) 746-2033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09272 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0053694 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1790747806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 TONEY PENNA DR",
"address_2": "SUITE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585755",
"telephone_number": "561-746-2033",
"fax_number": "561-744-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 TONEY PENNA DR",
"address_2": "SUITE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585755",
"telephone_number": "561-746-2033",
"fax_number": "561-744-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCHOVICH",
"first_name": "DANIEL",
"middle_name": "IGAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0053694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09272",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.