Nangi Shores Medical Group

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

ME85072 Issued in FL

Legal business name

NANGI SHORES MEDICAL GROUP

Practice address

9999 NE 2ND Ave Ste 214
Miami Shores, FL 33138-2345

Phone

(305) 384-8789

Fax

(786) 953-4169

NPI assigned

Aug 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alphonse G Dufreny, M.D.NPI 1356311922

Title

Physician

Phone

(305) 756-9392

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Alphonse Giloux Dufreny, MD

  • General Practice Physician
  • Margate, FL
  • NPI 1356311922
  NPD (past) Authorized official
• Julina Tillus Dorval, ARNP

  • Primary Care Clinic/Center
  • Miami Shores, FL
  • NPI 1386918217
  NPD (past)

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344038400000",
    "number": "1063769412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 214",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382345",
            "telephone_number": "305-384-8789",
            "fax_number": "786-953-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 214",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382345",
            "telephone_number": "305-384-8789",
            "fax_number": "786-953-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANGI SHORES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-08-04",
        "status": "A",
        "authorized_official_last_name": "DUFRENY",
        "authorized_official_first_name": "ALPHONSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-756-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "ME85072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356311822",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267153100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilfredo Morales Gonzalez
• Dzhulyetta Moreno-Duffy, LCSW
• Mayte Moreno
• Ruben R Moss, D.C.
• Natasha Myers, PHARMD
• Paige I Neufeld, PA-C
• Nexus Medical Group of Miami Shores LLC
• Frederick Jose Nin, D.D.S
• NJC Foot & Ankle Surgical Specialists
• Essence R Nobles

• Community Health Worker in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.