Organization Active NPI

Yevgeniya Golbraykh, MD, PA

  • Family Medicine Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1013915834
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81951 Issued in FL
Legal business name
YEVGENIYA GOLBRAYKH, MD, PA
Practice address
17100 Collins Ave Ste 216
Sunny Isles Beach, FL 33160-3675
Phone
(305) 945-9595
Fax
(305) 945-9545
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Yevgeniya Golbraykh, MDNPI 1073686515
Title
President
Phone
(305) 945-9595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME81951 FL Primary

Addresses

Primary practice location

17100 Collins Ave Ste 216
Sunny Isles Beach, FL 33160-3675

Mailing address

17100 Collins Ave Ste 216
Sunny Isles Beach, FL 33160-3675
Phone (305) 945-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040626000167 FL Part B Supplier - Clinic/Group Practice 9537145933 Receives reassigned benefits from 1 practitioner
Practice locations: Sunny Isles Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0990955Yevgeniya Golbraykh MD PA17100 Collins Ave Ste 216, Sunny Isles Beach, FL 33160Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory

Locations

17100 Collins Ave
Ste 216
Sunny Isles Beach, FL 33160
Phone (305) 204-5665

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1013915834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE STE 216",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-945-9595",
            "fax_number": "305-945-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE STE 216",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-945-9595",
            "fax_number": "305-945-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENIYA GOLBRAYKH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "GOLBRAYKH",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-945-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.