Organization Active NPI

Women and Teens Healthcare Inc

  • Specialist
  • North Miami Beach, FL
National Provider Identifier
1083982649
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME062140 Issued in FL
Legal business name
WOMEN AND TEENS HEALTHCARE INC
Practice address
16876 NE 19TH Ave
North Miami Beach, FL 33162-3108
Phone
(305) 895-5555
Fax
(305) 947-0061
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Sylvester Braithwaite
Title
MD
Phone
(305) 895-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME062140 FL Primary

Addresses

Primary practice location

16876 NE 19TH Ave
North Miami Beach, FL 33162-3108

Mailing address

16876 NE 19TH Ave
North Miami Beach, FL 33162-3108
Phone (305) 895-5555

Other identifiers 1

IdentifierTypeStateIssuer
275868700MedicaidFL

National Provider Directory

National Provider Directory

Locations

16876 NE 19th Ave
North Miami Beach, FL 33162
Phone (305) 895-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16941/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1083982649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16876 NE 19TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623108",
            "telephone_number": "305-895-5555",
            "fax_number": "305-947-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16876 NE 19TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623108",
            "telephone_number": "305-895-5555",
            "fax_number": "305-947-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AND TEENS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-895-5555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME062140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275868700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.