Organization Active NPI

Todd Newberg MD PA

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1962535666
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93532 Issued in FL
Legal business name
TODD NEWBERG MD PA
Practice address
5578 Lake Howell Rd
Winter Park, FL 32792-1036
Phone
(407) 679-3400
Fax
(407) 679-3412
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Matthew Todd Newberg, M.D.
Title
Physician
Phone
(407) 679-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME93532 FL Primary

Addresses

Primary practice location

5578 Lake Howell Rd
Winter Park, FL 32792-1036

Mailing address

5478 Lake Howell Rd
Winter Park, FL 32792-1036
Phone (407) 679-3400

Other identifiers 1

IdentifierTypeStateIssuer
1962535666OtherFLNPI ORGANIZATION

National Provider Directory

National Provider Directory

Locations

5474 Lake Howell Rd
Winter Park, FL 32792
Phone (407) 679-3400

5478 Lake Howell Rd
Winter Park, FL 32792
Phone (407) 679-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1962535666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-679-3400",
            "fax_number": "407-679-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-679-3400",
            "fax_number": "407-679-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD NEWBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "NEWBERG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-679-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ORGANIZATION",
            "identifier": "1962535666",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.