Organization Active NPI

The Yaeger Clinic, Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1013290071
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE YAEGER CLINIC, INC
Practice address
1177 NW 62ND St
Miami, FL 33150-4218
Phone
(305) 751-4208
Fax
(305) 759-9813
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Mr. Ivan Gregory Yaeger
Title
President
Phone
(305) 342-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1177 NW 62ND St
Miami, FL 33150-4218

Mailing address

1177 NW 62ND St
Miami, FL 33150-4218
Phone (305) 751-4208

National Provider Directory

National Provider Directory

Locations

1177 NW 62nd St
Miami, FL 33150
Phone (305) 751-4208

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1013290071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504218",
            "telephone_number": "305-751-4208",
            "fax_number": "305-759-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504218",
            "telephone_number": "305-751-4208",
            "fax_number": "305-759-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YAEGER CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "YAEGER",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-342-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Sep 26, 2011; 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.