Organization Active NPI

Nathan Digestivecare LLC

  • Gastroenterology Physician
  • Plantation, FL
National Provider Identifier
1861073355
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NATHAN DIGESTIVECARE LLC
Practice address
4101 NW 4TH St Ste 104
Plantation, FL 33317-2839
Phone
(954) 686-2980
NPI assigned
Apr 16, 2021
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Ramasamy Swami Nathan, MDNPI 1538114566
Title
President
Phone
(201) 452-9397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

4101 NW 4TH St Ste 104
Plantation, FL 33317-2839

Mailing address

4101 NW 4TH St Ste 104
Plantation, FL 33317-2839
Phone (954) 686-2980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429001912 FL Part B Supplier - Clinic/Group Practice 6002225257 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

8200 W Sunrise Blvd
Ste D6
Plantation, FL 33322
Phone (954) 475-1735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1861073355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172839",
            "telephone_number": "954-686-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172839",
            "telephone_number": "954-686-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN DIGESTIVECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "RAMASAMY",
        "authorized_official_middle_name": "SWAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-452-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.