Organization Active NPI

Polina Nosel MD,PA

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1003938374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME76939 Issued in FL
Legal business name
POLINA NOSEL MD,PA
Practice address
1380 NE Miami Gardens Dr
Suite 275
Miami, FL 33179-4707
Phone
(305) 945-8111
Fax
(305) 945-8186
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Inna Baranovich
Title
Manager
Phone
(305) 945-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME76939 FL Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr
Suite 275
Miami, FL 33179-4707

Mailing address

1380 NE Miami Gardens Dr
Suite 275
Miami, FL 33179-4707
Phone (305) 945-8111

National Provider Directory

National Provider Directory

Locations

1380 NE Miami Gardens Dr
Ste 275
North Miami Beach, FL 33179
Phone (305) 945-8111

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003938374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "SUITE 275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-945-8111",
            "fax_number": "305-945-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "SUITE 275",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-945-8111",
            "fax_number": "305-945-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLINA NOSEL MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARANOVICH",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-945-8111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME76939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.