Greater Miami Nephrology Associates PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GREATER MIAMI NEPHROLOGY ASSOCIATES PA

Practice address

16501 NW 2ND Ave
Miami, FL 33169-6005

Phone

(305) 354-4558

Fax

(305) 354-3884

NPI assigned

May 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carl S Goldsand, M.D.

Title

President

Phone

(305) 354-4558

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1003082876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696005",
            "telephone_number": "305-354-4558",
            "fax_number": "305-354-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696005",
            "telephone_number": "305-354-4558",
            "fax_number": "305-354-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MIAMI NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSAND",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-354-4558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME26504",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045922400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258311900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062529900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Leaps Occupational Therapy, Inc.
• Great Mobility
• Greater Miami Caterers, Inc.
• Greater Miami Ear Associates LLC
• Greater Miami Health MC
• Bernard Alexander Greaux, D.C.
• Joan Patricia Greaves, ARNP
• Karina Ebe Greco, MS
• Mattia Greco, APRN
• Green Apple Pediatric Therapy, Inc

• All providers in Miami, FL
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.