Steward NSMC, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

STEWARD NSMC, INC.

Doing business as

Steward Florida Medical Center A Campus of North Shore

Practice address

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503

Phone

(954) 735-6000

NPI assigned

Jul 12, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

STEWARD NSMC, INC.As reported in NPPES

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

Authorized official

Name

Herbert Holtz

Title

Officer, Director, General Counsel

Phone

(469) 341-8803

Specialties & licenses 1

Addresses

Other names 1

• Steward Florida Medical Center A Campus of North Shore Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891367629. Details of each certification follow.

• CCN 10002900 Hospital · Details

Hospital certification: CCN 10002900

Legal name

STEWARD NSMC INC

Doing business as

STEWARD FLORIDA MEDICAL CENTER - A CAMPUS OF NORTH SHORE

Organization structure

CorporationProprietary

Incorporated

Mar 11, 2021 in DE

Enrollment address

5000 West Oakland Park Boulevard
Lauderdale Lakes, FL 33313-1503
Other Hospital Practice Location

Hospital subgroups

General, Acute care

Tax ID family

Steward NSMC Inc3 organizations share this tax ID, including this one

Part of

Steward NSMC Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Steward NSMC, Inc.

  • Psychiatric Hospital
  • Lauderdale Lakes, FL
  • NPI 1487226106
  NPD tax ID
• Steward NSMC, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Miami, FL
  • NPI 1598337339
  NPD tax ID

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Susan Baker, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Miami, FL
  • NPI 1912979626

  Corporate Director

  CMS ownership
• Fernando E Bayron Velez, MD

  • Surgery Physician
  • Lauderdale Lakes, FL
  • NPI 1891783080

  Corporate Director

  CMS ownership
• Oscar Mendez, MD

  • Family Medicine Physician
  • Lauderhill, FL
  • NPI 1164520243

  Corporate Director

  CMS ownership
• David J Mond, MD

  • Vascular & Interventional Radiology Physician
  • Miami, FL
  • NPI 1356359764

  Corporate Director

  CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Steward NSMC, Inc.

  dba Steward North Shore Medical Center

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1598337305
  NPPES parent name

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1891367629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N PEARL ST STE 2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131503",
            "telephone_number": "954-735-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD NSMC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD NSMC, INC.",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OFFICER, DIRECTOR, GENERAL COUNSEL",
        "authorized_official_telephone_number": "469-341-8803"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steward Florida Medical Center A Campus of North Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steve Rubin
• Michelle L Stevens
• Steward Medical Group, Inc.
• Steward Medical Group, Inc.
• Steward NSMC, Inc.
• Janice Joy Stone, DC
• Strong Hearts Behavior Solutions LLC
• Sunrise Pharmacy LLC (Lauderdale Pharmacy)
• Sunshine
• Sunshine Florida Imaging

• General Acute Care Hospital in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.