Active NPI
Marina Nudel, D.D.S
- Dentist
- Hallandale Beach, FL
National Provider Identifier
1821088741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 19619
- Practice address
- 1800 S Ocean Dr
Unit 3303
Hallandale Beach, FL 33009-7734 - Phone
- (954) 234-8600
- Fax
- (954) 234-8600
- NPI assigned
- Oct 21, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN 19619 | FL | Primary |
Addresses
Primary practice location
1800 S Ocean Dr
Unit 3303
Hallandale Beach, FL 33009-7734
Mailing address
1800 S Ocean Dr
Unit 3303
Hallandale Beach, FL 33009-7734
Phone (954) 234-8600
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160425001470 | FL | Order and Referring Only - Other (Physician) | 9931408085 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19619 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428192000000",
"number": "1821088741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 S OCEAN DR",
"address_2": "UNIT 3303",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330097734",
"telephone_number": "954-234-8600",
"fax_number": "954-234-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S OCEAN DR",
"address_2": "UNIT 3303",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330097734",
"telephone_number": "954-234-8600",
"fax_number": "954-234-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUDEL",
"first_name": "MARINA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2015-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 19619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.