1. Home
  2. Directory
  3. Florida
  4. North Miami Beach
  5. Dentist
  6. NPI Profile

NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1013208800
Dentist - General Practice in North Miami Beach, FL

Active since April 27, 2011CLIA Certified · 6 labs
1050 NE 125TH STREET, NORTH MIAMI BEACH, FL 33161(305) 891-8850(305) 891-3361 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nova Southeastern University, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1013208800) is a healthcare organization registered as a general practice in North Miami Beach, Florida and active in the NPI registry since April 2011. The organization holds 6 active CLIA laboratory certificates and lists Robert S Oller, Ceo Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1013208800
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNOVA SOUTHEASTERN UNIVERSITY, INC
Location Address1050 NE 125TH STREETNorth Miami Beach, FL 33161-5805
Mailing Address3200 S. University Drive, Sanford L. Ziff Bldg. 3rd Floor Room 4364-dFt. Lauderdale, FL 33328-2018 · (954) 262-4343 · Fax (954) 262-2269
Phone(305) 891-8850
Fax(305) 891-3361
Organization SubpartYes
Authorized OfficialRobert S OllerCeo Clinical Operations · (954) 262-4399
Enumeration DateApril 27, 2011
Last NPPES UpdateJune 17, 2011
✔ NPI 1013208800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1050 NE 125TH STREET, North Miami Beach, FL 33161
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2077637

Nova Southeastern University - Obgyn · Fort Lauderdale, FL
Active · expires May 12, 2028
CLIA Number10D2077637
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorRenee B. Alexis
Laboratory Phone(954) 262-4335
Laboratory LocationNova Southeastern University - Obgyn3200 S University Dr Ste 4306 Ziff Bldg 3rd Floor, Fort Lauderdale, FL 33328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2077643

Nova Southeastern University - Employee Health & Wellness · Fort Lauderdale, FL
Active · expires May 12, 2028
CLIA Number10D2077643
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorGina Foster-Moumoutjis
Laboratory Phone(954) 336-3716
Laboratory LocationNova Southeastern University - Employee Health & Wellness3200 S University Dr Ste 4372 Ziff Bldg 3rd Floor, Fort Lauderdale, FL 33328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0871493

Nova Southeastern University Health Care Center · Fort Lauderdale, FL
Active · expires Dec 26, 2027
CLIA Number10D0871493
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorTye Ed Barber
Laboratory Phone(954) 336-3716
Laboratory LocationNova Southeastern University Health Care Center3200 S University Drive Sandford Ziff, Fort Lauderdale, FL 33328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 10D0963534

Nova Southeastern University Clinic Pharmacy · Fort Lauderdale, FL
Active · expires Aug 1, 2027
CLIA Number10D0963534
Laboratory TypePharmacy
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorGoar Alvarez
Laboratory Phone(954) 262-4550
Laboratory LocationNova Southeastern University Clinic Pharmacy3200 South University Drive, Fort Lauderdale, FL 33328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2077635

Nova Southeastern University - Internal Medicine · Fort Lauderdale, FL
Active · expires Apr 30, 2027
CLIA Number10D2077635
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorChris Stathas
Laboratory Phone(954) 262-4112
Laboratory LocationNova Southeastern University - Internal Medicine3200 S University Dr Ste 4128, Fort Lauderdale, FL 33328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2077623

Nova Southeastern University - Student Medical Ctr · Fort Lauderdale, FL
Active · expires Sep 3, 2026
CLIA Number10D2077623
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorChris Stathas
Laboratory Phone(954) 262-1262
Laboratory LocationNova Southeastern University - Student Medical Ctr3200 S University Dr Ste 4150, Fort Lauderdale, FL 33328
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nova Southeastern University, Inc's NPI number?

The NPI number for Nova Southeastern University, Inc is 1013208800. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Nova Southeastern University, Inc located?

Nova Southeastern University, Inc is located at 1050 NE 125th Street, North Miami Beach, FL 33161. The listed phone number is (305) 891-8850.

What is Nova Southeastern University, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Nova Southeastern University, Inc hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Nova Southeastern University, Inc was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.