NDS, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

NDS, LLC

Doing business as

NU life Medical Group

Practice address

1497 SW Martin Downs Blvd
Suite 202
Palm City, FL 34990

Phone

(772) 337-8500

Fax

(772) 337-8505

NPI assigned

Jun 20, 2018

Last updated

Aug 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Toledo, MD

Title

Owner

Phone

(772) 337-8500

Specialties & licenses 1

Addresses

Other names 1

• NU life Medical Group Doing business as

Locations

Practitioners 3

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.

• Aurelio Ayuso, LCSW

  • Clinical Social Worker
  • Fort Pierce, FL
  • NPI 1356881544
  NPD (past)
• Jennifer Charlynn Burch, LMHC

  • Mental Health Counselor
  • Palm City, FL
  • NPI 1184844623
  NPD (past)
• Jeni Ann Mose

  • Mental Health Counselor
  • Palm City, FL
  • NPI 1962919753

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1982198222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902802",
            "telephone_number": "772-337-8500",
            "fax_number": "772-337-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 SW MARTIN DOWNS BLVD",
            "address_2": "SUITE 202",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-337-8500",
            "fax_number": "772-337-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-337-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NU life Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Vancura Nagel
• Nancy Beth Ginden, Inc
• Alyxandria Nanney
• Sarai Narvaez
• Christina Hardy Nathan, OT/L
• Kaitlyn Neely, BA
• Gabrielle Taylor Neidigh
• Andrea Nelson, PT, DPT
• Delaney Grace Nelson, APRN, FNP-C
• New Day Psychiatry LLC

• Addiction Medicine (Psychiatry & Neurology) Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.