NPIMap

Organization Active NPI

Chen Neighborhood Medical Aventura, LLC

  • Specialist
  • Aventura, FL
National Provider Identifier
1104255652
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME88821 Issued in FL
Legal business name
CHEN NEIGHBORHOOD MEDICAL AVENTURA, LLC
Practice address
2845 Aventura Blvd #245
Aventura, FL 33180-3118
Phone
(305) 466-7333
NPI assigned
Nov 5, 2013
Organization subpart
Yes
Parent organization
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Christopher James Chen, M.D.
Title
Owner
Phone
(305) 628-6117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME88821 FL Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2845 Aventura Blvd #245
Aventura, FL 33180-3118

Mailing address

1000 Park Centre Blvd Ste 136
Miami, FL 33169-5373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001909 FL Part B Supplier - Clinic/Group Practice 2860623436 Receives reassigned benefits from 219 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plantation, FL; Pembroke Pines, FL; Hialeah, FL; Opa Locka, FL; Oakland Park, FL; North Miami Beach, FL; North Miami, FL; North Lauderdale, FL…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Chen Neighborhood Medical Lauderhill LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1104255652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD STE 136",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD #245",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803118",
            "telephone_number": "305-466-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL AVENTURA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-628-6117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88821",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.