Nidal Radwan M.D. PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NIDAL RADWAN M.D. PA

Practice address

18100 NE 19TH Avenue
Suite #102
North Miami Beach, FL 33162-1606

Phone

(305) 948-8900

Fax

(305) 948-3934

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Nidal Baz Radwan, MDNPI 1902856875

Title

Presidnet

Phone

(305) 948-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 7

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.

• Nidal B Radwan, MD

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1902856875

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Bocanegra, APRN, NP-C, RN

  • Family Nurse Practitioner
  • North Miami Beach, FL
  • NPI 1235708645
  Medicare reassignment Care Compare group NPD
• Nuzhat A Abbasi, MD

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1184655466
  Medicare reassignment NPD
• Cheryl L Haynes, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1114814407
  Medicare reassignment NPD
• Marther Robillard, ARNP

  • Nurse Practitioner
  • Miami, FL
  • NPI 1356048318
  Medicare reassignment NPD
• Edwige Sterlin

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1588364376
  Medicare reassignment
• Rosemary Sachs, ARNP

  • Nurse Practitioner
  • North Miami Beach, FL
  • NPI 1760553986
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1942259361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVENUE",
            "address_2": "SUITE #102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "305-948-8900",
            "fax_number": "305-948-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVENUE",
            "address_2": "SUITE #102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "305-948-8900",
            "fax_number": "305-948-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDAL RADWAN M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "RADWAN",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_middle_name": "BAZ",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "305-948-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254331100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.