NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1093442824
Oral & Maxillofacial Surgery in Ft Lauderdale, FL
About Nova Southeastern University, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1093442824) is a healthcare organization registered as an oral & maxillofacial surgery in Ft Lauderdale, Florida and active in the NPI registry since August 2022. The organization lists Julissa Lazala, Director Of Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nova Southeastern University, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
262Medicare enrollment records show 262 clinicians reassign Medicare billing to Nova Southeastern University, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 171 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 262Fort Lauderdale, FL 33316
Fort Lauderdale, FL 33316
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 Nova Southeastern University, Inc's NPI number?
The NPI number for Nova Southeastern University, Inc is 1093442824. It was assigned to this organization in the NPPES registry on August 2, 2022.
Where is Nova Southeastern University, Inc located?
Nova Southeastern University, Inc is located at 1625 SE 3rd Ave Ste 802, Ft Lauderdale, FL 33316. The listed phone number is (954) 262-7500.
What is Nova Southeastern University, Inc's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Nova Southeastern University, Inc enrolled in Medicare?
Yes. Nova Southeastern University, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nova Southeastern University, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 262 clinicians in 32 Medicare specialties reassign their Medicare billing to Nova Southeastern University, 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. The largest specialties are Optometry (118), Family Practice (30) and Internal Medicine (15). Of these, 2 practice at this address and 171 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nova Southeastern University, Inc accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Nova Southeastern University, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nova Southeastern University, Inc was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Nova Southeastern University, Inc · NPI 1093442824
Oral & Maxillofacial Surgery organization in Ft Lauderdale, Florida. Organization record, active in the CMS NPPES registry since August 2, 2022.
## Identity
- **NPI:** 1093442824 (Entity type: Organization)
- **Enumerated:** August 2, 2022
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **Organization subpart:** Yes (part of Nova Southeastern University, Inc)
- **Authorized official:** Julissa Lazala, DIRECTOR OF REVENUE CYCLE
## Practice location
- **Address:** 1625 SE 3RD AVE STE 802, Ft Lauderdale, FL 33316-2521
- **Phone:** (954) 262-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 262 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (118), Family Practice (30), Internal Medicine (15); 2 practice at this address and 171 within 10 miles; [full list](https://npiprofile.com/npi/1093442824/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093442824) · Data from the CMS NPPES public registry.