MEMORIAL DIVISION OF PEDIATRIC OTOLARYNGOLOGY
NPI 1053657650
Physician Assistant in Hollywood, FL

Active since December 31, 2012
1150 N 35TH AVE, SUITE 490, HOLLYWOOD, FL 33021(954) 265-1616(954) 893-6325 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Memorial Division Of Pediatric Otolaryngology NPPES

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

MEMORIAL DIVISION OF PEDIATRIC OTOLARYNGOLOGY (NPI 1053657650) is a healthcare organization registered as a physician assistant in Hollywood, Florida and active in the NPI registry since December 2012. The organization lists Samuel Ostrower, Otolaryngologist, as its authorized official.

NPPES Registry Identity

NPI1053657650
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMEMORIAL DIVISION OF PEDIATRIC OTOLARYNGOLOGY
Location Address1150 N 35TH AVE, SUITE 490Hollywood, FL 33021-5424
Mailing Address1150 N 35th Ave, Suite 490Hollywood, FL 33021-5424 · (954) 265-1616 · Fax (954) 893-6325
Fax(954) 893-6325
Organization SubpartNo
Authorized OfficialSamuel OstrowerOtolaryngologist · (954) 265-1616
Enumeration DateDecember 31, 2012
NPI 1053657650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9106938
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1150 N 35TH AVE, Hollywood, FL 33021

Other Identifiers 1

OtherPA9106938FL · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 10D2093138

Memorial Division Of Pediatric Specialty · Hollywood, FL
Active · expires Mar 22, 2027
CLIA Number10D2093138
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorRobin Nemery
Laboratory Phone(954) 265-3661
Laboratory LocationMemorial Division Of Pediatric Specialty1131 N 35th Ave Ste 210, Hollywood, FL 33021
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1150 N 35TH AVE, SUITE 205
HOLLYWOOD, FL 33021
Internal Medicine (Hematology & Oncology)
1150 N 35TH AVE, SUITE-170
HOLLYWOOD, FL 33021
Obstetrics & Gynecology (Gynecologic Oncology)
1150 N 35TH AVE, SUITE 670
HOLLYWOOD, FL 33021
Obstetrics & Gynecology
1150 N 35TH AVE, SUITE 400
HOLLYWOOD, FL 33021
Internal Medicine
1150 N 35TH AVE, SUITE 245
HOLLYWOOD, FL 33021
Obstetrics & Gynecology
1150 N 35TH AVE, #400
HOLLYWOOD, FL 33021
Obstetrics & Gynecology
1150 N 35TH AVE, #400
HOLLYWOOD, FL 33021
Obstetrics & Gynecology
1150 N 35TH AVE, #400
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053657650, enumerated as an "organization" on December 31, 2012.

The provider is located at 1150 N 35TH AVE SUITE 490 HOLLYWOOD, FL 33021 and the phone number is (954) 265-1616.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.