Organization Active NPI

Sleep Medicine Specialists of South Florida PA

  • Sleep Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1063858140
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA PA
Practice address
351 NW 42ND Ave Ste 308
Miami, FL 33126-5688
Phone
(305) 994-1825
Fax
(305) 508-5519
NPI assigned
May 16, 2013
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Dr. Edward Mezerhane, MDNPI 1063654218
Title
Physician
Phone
(305) 994-1825

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NU
Family Nurse Practitioner 363LF0000X NU
Nutritionist 133N00000X NU
Pulmonary Disease Physician 207RP1001X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Neurology Physician 2084N0400X NU
Psychiatry Physician 2084P0800X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU

Addresses

Primary practice location

351 NW 42ND Ave Ste 308
Miami, FL 33126-5688

Mailing address

351 NW 42ND Ave Ste 308
Miami, FL 33126-5688
Phone (305) 994-1825

Other practice location 1

1350 SW 57th Ave
Suite 210
West Miami, FL 33144-5775
Phone (305) 994-1825

Other practice location 2

11030 SW 88th St Ste 100
Miami, FL 33176-8814
Phone (305) 994-1825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130807000957 FL Part B Supplier - Clinic/Group Practice 6901048743 Receives reassigned benefits from 9 practitioners
Practice locations: Doral, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

11030 SW 88th St
Ste 100
Miami, FL 33176
Phone (305) 994-1825

351 NW Le Jeune Rd
Ste 308
Miami, FL 33126
Phone (305) 817-5402

1350 SW 57th Ave
Ste 210
West Miami, FL 33144
Phone (305) 441-0744

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1063858140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE STE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265688",
            "telephone_number": "305-994-1825",
            "fax_number": "305-508-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE STE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265688",
            "telephone_number": "305-994-1825",
            "fax_number": "305-508-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 SW 57th Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "West Miami",
            "state": "FL",
            "postal_code": "331445775",
            "country_code": "US",
            "telephone_number": "305-994-1825",
            "fax_number": "305-508-5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11030 SW 88th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331768814",
            "country_code": "US",
            "telephone_number": "305-994-1825",
            "fax_number": "305-508-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLEEP MEDICINE SPECIALISTS OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "MEZERHANE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-994-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.