Active NPI
Mia Dukofsky, D.C.
- Chiropractor
- Hollywood, FL
National Provider Identifier
1972535672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009134
- Practice address
- 6030 Hollywood Blvd Ste 250
Hollywood, FL 33024-7972 - Phone
- (954) 908-6662
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009134 | NY | Primary |
| Chiropractor | 111N00000X | CH13886 | FL |
Addresses
Primary practice location
6030 Hollywood Blvd Ste 250
Hollywood, FL 33024-7972
Mailing address
520 NE 20TH St Apt 206
Wilton Manors, FL 33305-2104
Phone (631) 897-5246
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139518 | Other | NY | PRISM |
| 5897920 | Other | NY | GHI |
| 113423471 | Other | NY | MAGNACARE |
| 7633479 | Other | NY | AETNA US HEALTHCARE |
| NY09134 | Other | NY | LANDMARK |
| 2018267 | Other | NY | UNITED HEALTHCARE |
| 103013 | Other | NY | HERITAGE |
| 010757455 | Other | NY | HORIZON HEALTHCARE |
| X5T371 | Other | NY | BLUE CROSS BLUE SHIELD |
| 2952860 | Other | NY | OXFORD |
| 470609 | Other | NY | PHCS |
| C09134 | Other | NY | WORKERS COMP. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13886 | FL | MD | Chiropractor |
| X009134 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1972535672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NE 20TH ST APT 206",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333052104",
"telephone_number": "631-897-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6030 HOLLYWOOD BLVD STE 250",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330247972",
"telephone_number": "954-908-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKOFSKY",
"first_name": "MIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009134",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13886",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM",
"identifier": "139518",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5897920",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "113423471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7633479",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "NY09134",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2018267",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HERITAGE",
"identifier": "103013",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE",
"identifier": "010757455",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X5T371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "2952860",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "470609",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP.",
"identifier": "C09134",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.