Organization Active NPI

Sudhir K Nayer MD & Assoc PA

  • Primary Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1962707174
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME20859 Issued in FL
Legal business name
SUDHIR K NAYER MD & ASSOC PA
Practice address
8501 S US Highway 1
Suite 10
Port St Lucie, FL 34952-3346
Phone
(772) 879-0008
Fax
(772) 879-4504
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Sudhir K Nayer, MD
Title
President
Phone
(772) 879-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME20859 FL Primary

Addresses

Primary practice location

8501 S US Highway 1
Suite 10
Port St Lucie, FL 34952-3346

Mailing address

8501 S US Highway 1
Suite 10
Port St Lucie, FL 34952-3346
Phone (772) 879-0008

Other identifiers 1

IdentifierTypeStateIssuer
055021300MedicaidFL

National Provider Directory

National Provider Directory

Locations

8501 S US Highway 1
Ste 10
Port St Lucie, FL 34952
Phone (772) 879-0008

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1962707174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 S US HIGHWAY 1",
            "address_2": "SUITE 10",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-879-0008",
            "fax_number": "772-879-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 S US HIGHWAY 1",
            "address_2": "SUITE 10",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523346",
            "telephone_number": "772-879-0008",
            "fax_number": "772-879-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR K NAYER MD & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "NAYER",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-879-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME20859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055021300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.