Individual provider Active NPI

Monika Anna Kulik, PA

  • Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1912136128
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104966 Issued in FL
Practice address
5850 Coral Ridge Dr Ste 106
Coral Springs, FL 33076-3379
Phone
(954) 714-8200
Fax
(954) 840-2626
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104966 FL Primary

Addresses

Primary practice location

5850 Coral Ridge Dr Ste 106
Coral Springs, FL 33076-3379

Mailing address

1331 SW 4TH Court
Ft. Lauderdale, FL 33312
Phone (352) 262-0223

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000720 FL Practitioner - Physician Assistant 6204981863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104966FLMDPhysician Assistant

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Michael P. Zahalsky, MD PA PastSince Jul 25, 2021 Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients
Michael P. Zahalsky, MD PA PastSince May 19, 2024 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1912136128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 SW 4TH COURT",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "352-262-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 106",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379",
            "telephone_number": "954-714-8200",
            "fax_number": "954-840-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIK",
        "first_name": "MONIKA",
        "middle_name": "ANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.