NOVA SOUTHEASTERN UNIVERSITY, INC
NPI 1811288012
Dentist - General Practice in Davie, FL

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

The NPI number for Nova Southeastern University, Inc is 1811288012. It was assigned to this organization in the NPPES registry on April 22, 2011.

Q: 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.

Active since April 22, 2011

7600 SW 36TH STREET, BLDG. # 100 ROOM 1263, DAVIE, FL 33328(954) 262-7127(954) 262-3937 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Dec 5, 2023, May 30, 2023 and 1 more (4 updates tracked since 2015).

On this page

About Nova Southeastern University, Inc NPPES

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

NOVA SOUTHEASTERN UNIVERSITY, INC (NPI 1811288012) is a healthcare organization registered as a general practice in Davie, Florida and active in the NPI registry since April 2011. The organization lists Rosemery Estevez, Dir Contracting And Credentialing, as its authorized official.

NPPES Registry Identity

NPI1811288012

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameNOVA SOUTHEASTERN UNIVERSITY, INC

Location Address7600 SW 36TH STREET, BLDG. # 100 ROOM 1263Davie, FL 33328-1902

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(954) 262-7127

Fax(954) 262-3937

Organization SubpartYes

Authorized OfficialRosemery EstevezDir Contracting And Credentialing · (954) 262-4343

Enumeration DateApril 22, 2011

Last NPPES UpdateJune 11, 20254 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1811288012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

7600 SW 36TH STREET, Davie, FL 33328

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

262

Medicare enrollment records show 262 clinicians reassign Medicare billing to Nova Southeastern University, Inc, which bills Medicare for the services they deliver. Of these, 176 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Optometry118

Family Practice30

Internal Medicine15

Physical Therapist in Private Practice13

Qualified Speech Language Pathologist11

Pediatric Medicine10

Qualified Audiologist9

Nurse Practitioner6

24 other specialties50

Nearest to this location (20)

See all 262

Gina Foster-Moumoutjis, MD

Family Practice

NPI 1730347030

3600 S UNIVERSITY DR
Davie, FL 33328

(954) 262-1860

✔ PECOS✔ Accepts Medicare0.1 mi

Erica Friedland, AU.D.

Qualified Audiologist

NPI 1356425094

3600 S UNIVERSITY DR HEARING AND BALANCE CENTER
Davie, FL 33328

(954) 262-7750

0.1 mi

Hsuan Chao, OD

Optometry

NPI 1730867508

3300 S UNIVERSITY DR
Ft Lauderdale, FL 33328

(954) 262-4235

✔ PECOS✔ Accepts Medicare0.2 mi

Yung Liu, M.D., D.D.S.

Otolaryngology

NPI 1053601401

3300 S. UNIVERSITY DRIVE NSU FLORIDA, DEPT. OF ORAL & MAXILLOFACIAL SURGERY
Fort Lauderdale, FL 33328

(954) 262-7332

✔ PECOS✔ Accepts Medicare0.2 mi

Susan Peters, APRN, FNP-BC

Nurse Practitioner

NPI 1154207314

7595 SW 33RD ST STE 204
Davie, FL 33314

(954) 815-6519

✔ PECOS0.4 mi

Theoharis Theoharides, MD

Internal Medicine

NPI 1235929712

7595 SW 33RD ST
Davie, FL 33314

(813) 574-5218

✔ PECOS0.4 mi

Athena Klein, OT

Occupational Therapist in Private Practice

NPI 1508528134

3375 SW 75TH AVE
Davie, FL 33314

(954) 262-4506

0.4 mi

Lynn Solomon, D.D.S., M.S.

Oral Surgery

NPI 1619056280

3200 S UNIVERSITY DR CDM ROOM 7377
Davie, FL 33328

(954) 262-1761

✔ PECOS0.4 mi

Noel Alonso, M.D.

Pediatric Medicine

NPI 1902985344

3200 S UNIVERSITY DR
Davie, FL 33328

(305) 336-0108

✔ PECOS0.5 mi

Patricia Barros, DMD

Oral and Maxillofacial Pathology

NPI 1780158667

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-1698

✔ PECOS0.5 mi

Karen Basedow, RD

Registered Dietitian or Nutrition Professional

NPI 1013223650

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-4100

✔ Accepts Medicare0.5 mi

Darren Cohen, D.O.

Emergency Medicine

NPI 1285715649

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-4100

✔ PECOS0.5 mi

Kenneth Johnson, D.O.

Obstetrics/Gynecology

NPI 1760597009

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-1142

✔ PECOS0.5 mi

Marc Kesselman, D.O.

Rheumatology

NPI 1285685115

3200 S UNIVERSITY DR BLDG 4128
Davie, FL 33328

(954) 262-4100

✔ PECOS✔ Accepts Medicare0.5 mi

Susan Ledbetter, D.O.

Geriatric Medicine

NPI 1780620476

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-4100

✔ PECOS0.5 mi

Eustorgio Lopez, M.D., D.D.S.

Maxillofacial Surgery

NPI 1730145061

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-7153

✔ PECOS0.5 mi

Steven Pfister, PT

Physical Therapist in Private Practice

NPI 1568533933

3200 S UNIVERSITY DR
Davie, FL 33328

(954) 262-4151

✔ Accepts Medicare0.5 mi

Diane Stern, D.D.S.

Pathology

NPI 1902913601

3200 S UNIVERSITY DR #7393
Davie, FL 33328

(954) 262-7382

✔ PECOS0.5 mi

Leah Goedecke, DO

Osteopathic Manipulative Medicine

NPI 1457974073

3301 COLLEGE AVE
Davie, FL 33314

(954) 262-9417

✔ PECOS0.5 mi

Alison Bested, MD

Hematology

NPI 1982286878

3621 COLLEGE AVENUE 4TH FLOOR SUITE 405
Davie, FL 33331

(954) 262-4343

✔ PECOS✔ Accepts Medicare0.6 mi

See all 262 clinicians

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 1811288012. It was assigned to this organization in the NPPES registry on April 22, 2011.

Where is Nova Southeastern University, Inc located?

Nova Southeastern University, Inc is located at 7600 SW 36th Street Bldg. # 100 Room 1263, Davie, FL 33328. The listed phone number is (954) 262-7127.

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.

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, 176 practice 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, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.