NUCLEUS MEDICAL INC
NPI 1063210524
Nurse Practitioner - Psychiatric/Mental Health in Lauderdale Lakes, FL

Active since March 03, 2025
4850 W OAKLAND PARK BLVD STE 202, LAUDERDALE LAKES, FL 33313(305) 924-7726 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nucleus Medical Inc NPPES

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

NUCLEUS MEDICAL INC (NPI 1063210524), doing business as Nucleus Psychiatry Medical Inc, is a healthcare organization registered as a psychiatric/mental health in Lauderdale Lakes, Florida and active in the NPI registry since March 2025. The organization lists Biju Antony, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063210524
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNUCLEUS MEDICAL INC
Location Address4850 W OAKLAND PARK BLVD STE 202Lauderdale Lakes, FL 33313-7260
Mailing Address12941 Nw 2nd St Apt 204Pembroke Pines, FL 33028-2233
Organization SubpartNo
Authorized OfficialBiju AntonyCeo · (305) 924-7726
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1063210524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4850 W OAKLAND PARK BLVD STE 202, Lauderdale Lakes, FL 33313

Other Names 1

Doing Business AsNucleus Psychiatry Medical Inc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nucleus Medical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nucleus Medical Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1912582008
4850 W OAKLAND PARK BLVD STE 202
Lauderdale Lakes, FL 33313
(305) 924-7726
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386312528
3105 N UNIVERSITY DR
Hollywood, FL 33024
(954) 438-6080
✔ PECOS✔ Accepts Medicare9.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nucleus Medical Inc's NPI number?

The NPI number for Nucleus Medical Inc is 1063210524. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Nucleus Psychiatry Medical Inc.

Where is Nucleus Medical Inc located?

Nucleus Medical Inc is located at 4850 W Oakland Park Blvd Ste 202, Lauderdale Lakes, FL 33313. The listed phone number is (305) 924-7726.

What is Nucleus Medical Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nucleus Medical Inc enrolled in Medicare?

Yes. Nucleus Medical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nucleus Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nucleus Medical Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nucleus Medical Inc was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.