Provider Demographics
NPI:1679614655
Name:NAYER, ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:NAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2040 NE 163RD ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4951
Mailing Address - Country:US
Mailing Address - Phone:305-615-1514
Mailing Address - Fax:305-501-4731
Practice Address - Street 1:2040 NE 163RD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4951
Practice Address - Country:US
Practice Address - Phone:305-615-1514
Practice Address - Fax:305-501-4731
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME103495207RN0300X, 207RN0300X
MA206390207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL511619442684Medicare Oscar/Certification
FLBM547WMedicare PIN
H87414Medicare UPIN
119026691Medicare PIN