Individual provider Active NPI

Anwar Nass, DPM

  • Student in an Organized Health Care Education/Training Program
  • North Miami Beach, FL
National Provider Identifier
1962297879
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
19530 Ambassador CT
North Miami Beach, FL 33179-6425
Phone
(305) 934-7437
NPI assigned
Apr 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

19530 Ambassador CT
North Miami Beach, FL 33179-6425

Mailing address

19530 Ambassador CT
North Miami Beach, FL 33179-6425
Phone (305) 934-7437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718000586 MI Order and Referring Only - PodiatryPractitioner - Podiatry 0244746139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1962297879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19530 AMBASSADOR CT",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331796425",
            "telephone_number": "305-934-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 AMBASSADOR CT",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331796425",
            "telephone_number": "305-934-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASS",
        "first_name": "ANWAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.