Organization Active NPI

Matthew Teltser MD PLLC

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1801168802
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MATTHEW TELTSER MD PLLC
Practice address
1779 N University Dr
Suite 204
Pembroke Pines, FL 33024-0929
Phone
(954) 962-7200
Fax
(954) 893-5936
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Matthew Teltser, MD
Title
Owner
Phone
(954) 962-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1779 N University Dr
Suite 204
Pembroke Pines, FL 33024-0929

Mailing address

1779 N University Dr
Suite 204
Pembroke Pines, FL 33024-0929

Other identifiers 1

IdentifierTypeStateIssuer
004610300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1801168802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR",
            "address_2": "SUITE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-962-7200",
            "fax_number": "954-893-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW TELTSER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "TELTSER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-962-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004610300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.