1174735484 NPI number — ALEX K HSU & JUAN P LOY MD PA

Table of content: (NPI 1174735484)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174735484 NPI number — ALEX K HSU & JUAN P LOY MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALEX K HSU & JUAN P LOY MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174735484
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2964 N STATE ROAD 7
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
MARGATE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-984-0111
Provider Business Mailing Address Fax Number:
954-984-0503

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2964 N STATE ROAD 7
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
MARGATE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-984-0111
Provider Business Practice Location Address Fax Number:
954-984-0503
Provider Enumeration Date:
05/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LOY
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
954-984-0111

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 029697 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0472012 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 05689 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 28354 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 371102100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 005769 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 280218 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0402602 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 38931 . This is a "MEDICARE ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 220953 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 258102700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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