Individual provider Active NPI

Rindy Nong, PA

  • Physician Assistant
  • New Smyrna Beach, FL
National Provider Identifier
1932253580
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102888 Issued in FL
Practice address
1860 Renzulli Road
New Smyrna Beach, FL 32168-1726
Phone
(386) 663-3064
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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 PA9102888 FL Primary

Addresses

Primary practice location

1860 Renzulli Road
New Smyrna Beach, FL 32168-1726

Mailing address

1860 Renzulli Road
New Smyrna Beach, FL 32168-1726
Phone (386) 663-3064

Other identifiers 1

IdentifierTypeStateIssuer
PA9102888OtherFLSTATE LIC. NUMBER

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
I20070424000416 FL Practitioner - Physician Assistant 3870401045 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emcare Physician Providers, Inc. Past Accepting new patients
Hillcrest Family Health Center PastSince Oct 23, 2017 Accepting new patients
Sterthaus ER SVCS Partnership LLC Past Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients

Organizations & group practices 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1932253580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 RENZULLI ROAD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321681726",
            "telephone_number": "386-663-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 RENZULLI ROAD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321681726",
            "telephone_number": "386-663-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NONG",
        "first_name": "RINDY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC. NUMBER",
            "identifier": "PA9102888",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.