121Healthcare Services ,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

121HEALTHCARE SERVICES ,LLC

Practice address

8201 N University Dr
Tamarac, FL 33321-1709

Phone

(516) 589-9386

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Sarika Badgamia

Title

Billing Manager

Phone

(954) 415-4421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ritchie Leonard Ambroise, MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1255718045

  FL, Internal Medicine

  Medicare reassignment NPD
• Abelardo Broceta Martinez, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1417586546

  FL, Internal Medicine

  Medicare reassignment NPD
• Frederick Nelson Laborde, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1659754919

  FL, Single Specialty

  Medicare reassignment NPD
• Efosa Osawe, MD

  • Hospitalist Physician
  • Deland, FL
  • NPI 1427317528

  FL, Internal Medicine

  Medicare reassignment NPD
• Lesly Silva, MD

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1700316379

  FL, Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1831765528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14240 JOCKEY CIR S",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211709",
            "telephone_number": "516-589-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121HEALTHCARE SERVICES ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "BADGAMIA",
        "authorized_official_first_name": "SARIKA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-415-4421"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21St Century Oncology LLC
• 5901 NW 79TH Avenue Operations, LLC
• A Company Care of Broward County Inc
• A Hopeful Exchange LLC
• A to Z Medical Equipment LLC

• All providers in Tamarac, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.