Organization Active NPI

Hernia Institute of Florida Inc

  • Surgery Physician
  • South Miami, FL
National Provider Identifier
1033216767
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HERNIA INSTITUTE OF FLORIDA INC
Practice address
6200 SW 72ND St
Suite 501
South Miami, FL 33143-4828
Phone
(305) 667-7878
Fax
(305) 667-7459
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Jerrold Young, MD
Title
President
Phone
(305) 667-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

6200 SW 72ND St
Suite 501
South Miami, FL 33143-4828

Mailing address

6200 SW 72ND St
Suite 501
South Miami, FL 33143-4828
Phone (305) 667-7878

Other identifiers 1

IdentifierTypeStateIssuer
24620OtherFLMEDICARE GROUP PTAN

National Provider Directory

National Provider Directory

Locations

6250 Sunset Dr
Ste 200
South Miami, FL 33143
Phone (305) 663-0609

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1033216767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SW 72ND ST",
            "address_2": "SUITE 501",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-667-7878",
            "fax_number": "305-667-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 72ND ST",
            "address_2": "SUITE 501",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-667-7878",
            "fax_number": "305-667-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNIA INSTITUTE OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-667-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "24620",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.