Active NPI
Eric T Centofanti, D.C.
- Chiropractor
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12544
- Practice address
- 1220 20TH St
Miami Beach, FL 33139 - Phone
- (305) 935-9599
- Fax
- (305) 932-5612
- NPI assigned
- Jan 15, 2014
- Last updated
- Feb 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 12544 | FL | |
| Chiropractor | 111N00000X | 12544 | FL | Primary |
Addresses
Primary practice location
1220 20TH St
Miami Beach, FL 33139
Mailing address
20754 W Dixie Hwy
Aventura, FL 33180-1146
Phone (305) 935-9599
Other practice location 1
75 Summit Ave
Hackensack, NJ 07601-8504
Phone (201) 880-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6201 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 245-8103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12544 | FL | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Chiropractic & Sports, Inc | Sports Physician | Current | Accepting new patients |
| USA Sports Medicine Boca LLC | Sports Physician | Current | Accepting new patients |
| USA Sportschiropractic, Inc | Chiropractor | Current | Accepting new patients |
| USA Sports Medicine LLC | Current | Accepting new patients |
Locations
6201 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 245-8103
11410 N Kendall Dr
Ste 110
Miami, FL 33176
Phone (305) 479-2973
20754 W Dixie Hwy
Miami, FL 33180
Phone (305) 606-0337
21000 NE 28th Ave
Ste 104
Miami, FL 33180
Phone (305) 933-0626
21150 Biscayne Blvd
Ste 406
Miami, FL 33180
1220 20th St
Miami Beach, FL 33139
Phone (305) 479-2973
404 Washington Ave
Ste 120
Miami Beach, FL 33139
Phone (305) 479-2973
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Boca Raton, FL
- NPI 1275217143
Sports Physician
-
- Sports Physician Chiropractor
- Aventura, FL
- NPI 1164820692
-
- Physical Medicine & Rehabilitation Physician
- Miami Beach, FL
- NPI 1639700370
-
- Chiropractor
- Coconut Grove, FL
- NPI 1578922167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1073935730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20754 W DIXIE HWY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801146",
"telephone_number": "305-935-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 20TH ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33139",
"telephone_number": "305-935-9599",
"fax_number": "305-932-5612"
}
],
"practiceLocations": [
{
"address_1": "75 Summit Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076018504",
"country_code": "US",
"telephone_number": "201-880-8866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CENTOFANTI",
"first_name": "ERIC",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-15",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "12544",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Neydis Centeno Jimenez
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- Jillian Marie Cepeda Gonzalez, D.O.
- Certified Orthotics and Prosthetics International, Incorporated (Certifed O & P dba South Beach O & P)
- Cesar a Conde Cardiology Associates PA
- Gulsah Cetin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.