Abdul Samad Memon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105666 Issued in FL

Practice address

14150 SW 136TH St
Miami, FL 33186-5506

Phone

(786) 204-4600

NPI assigned

Nov 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abdul.memon@hca4.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergent Physicians of Palmetto Bay, LLC

  • Emergency Medicine Physician
  • Palmetto Bay, FL
  • NPI 1639991912
  Medicare reassignment NPD
• Emergent Physicians of Country Walk, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1114497005
  Medicare reassignment
• Emergent Physicians of Doral, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1245909449
  Medicare reassignment
• Emergent Physicians of Miami Lakes, LLC

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1730901018
  Medicare reassignment
• Emergent Physicians of West Dade, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1275200537
  Medicare reassignment
• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062
  Medicare reassignment
• South Miami Criticare Inc.

  • Emergency Medicine Physician
  • South Miami, FL
  • NPI 1306878210
  Medicare reassignment

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1104128305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR STE 302",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434829",
            "telephone_number": "786-888-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865506",
            "telephone_number": "786-204-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W SR 434 Ste 3010",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505196",
            "country_code": "US",
            "telephone_number": "407-767-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "ABDUL",
        "middle_name": "SAMAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melyanet Management LLC
• Mem Team Services Inc
• Daniela G. Membreno
• Raidel Membribes Morales
• Abdul Majid Memon, MD
• Nashwah Memon, DO
• Memorial Pill Box
• Memorias Dulces Medical Center Inc
• Mena & Gomez Services Inc
• Daniela Mena Benitez

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.