Active NPI
Nikette Appoline Neal, M.D.
- Pediatrics Physician
- Coral Springs, FL
National Provider Identifier
1841532512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME127677
- Practice address
- 9120A Wiles Rd
Coral Springs, FL 33067-1993 - Phone
- (954) 341-0074
- Fax
- (954) 345-3474
- NPI assigned
- Mar 20, 2013
- Last updated
- Sep 20, 2022
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME127677 | FL | Primary |
Addresses
Primary practice location
9120A Wiles Rd
Coral Springs, FL 33067-1993
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 486-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017352400 | Medicaid | FL |
Other names 1
- Nikette Appoline Benjamin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140516001456 | UT | Order and Referring Only - Pediatric Medicine | 1456574524 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127677 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittel, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- nneal@pa.trimed.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pediatric Associates
- Pediatrics Physician
- Lauderdale Lakes, FL
- NPI 1972711489
-
dba Pediatric Associates
- Pediatrics Physician
- Coral Springs, FL
- NPI 1316155096
-
dba Pediatric Associates
- Pediatrics Physician
- Palmetto Bay, FL
- NPI 1760739833
-
dba Pediatric Associates
- Pediatrics Physician
- Pembroke Pines, FL
- NPI 1881802544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1841532512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "954-486-8020",
"fax_number": "954-486-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120A WILES RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330671993",
"telephone_number": "954-341-0074",
"fax_number": "954-345-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "NIKETTE",
"middle_name": "APPOLINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME127677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017352400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NIKETTE",
"last_name": "BENJAMIN",
"middle_name": "APPOLINE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.