Active NPI
Noel Alonso, M.D.
- Pediatrics Physician
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 83532
- Practice address
- 3200 S University Dr
Davie, FL 33328-2018 - Phone
- (305) 336-0108
- Fax
- (954) 262-1888
- NPI assigned
- Nov 5, 2006
- Last updated
- Mar 31, 2021
- Sex
- Male
- 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 | ME 83532 | FL | Primary |
Addresses
Primary practice location
3200 S University Dr
Davie, FL 33328-2018
Mailing address
1301 SW 69TH Ave
Plantation, FL 33317-5058
Phone (305) 336-0108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265403200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://login.intelichart.com/NSUHealthClinics/ |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 83532 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Pediatrics | Past | Accepting new patients |
| After Hours Pediatrics, Inc. | Past | Accepting new patients |
Locations
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
3200 S University Dr
#L
Davie, FL 33328
Phone (954) 262-4149
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111
Organizations & group practices 7
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.
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- NPI 1700924511
-
- Emergency Medicine Physician
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- NPI 1871542969
-
- Clinical Medical Laboratory
- Fort Lauderdale, FL
- NPI 1770533390
-
- General Practice Dentistry
- Davie, FL
- NPI 1033357611
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Clinic/Center
- Tampa, FL
- NPI 1992746879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1902985344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SW 69TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333175058",
"telephone_number": "305-336-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "305-336-0108",
"fax_number": "954-262-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONSO",
"first_name": "NOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-05",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 83532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265403200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://login.intelichart.com/NSUHealthClinics/",
"affiliation": "N",
"address_1": "3200 S University Dr",
"city": "Davie",
"state": "FL",
"country_code": "US",
"postal_code": "333282018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.