Organization Active NPI

Neighbormd of North Miami Beach LLC

  • Internal Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1104424027
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEIGHBORMD OF NORTH MIAMI BEACH LLC
Practice address
150 NW 168TH St Ste 301
North Miami Beach, FL 33169-6051
Phone
(305) 654-5440
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
James Lee Clark
Title
Manager Member
Phone
(954) 770-8613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

150 NW 168TH St Ste 301
North Miami Beach, FL 33169-6051

Mailing address

150 NW 168TH St Ste 301
North Miami Beach, FL 33169-6051
Phone (305) 654-5440

National Provider Directory

National Provider Directory

Locations

150 NW 168th St
Ste 301
North Miami Beach, FL 33169
Phone (305) 654-5440

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1104424027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NW 168TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696051",
            "telephone_number": "305-654-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NW 168TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696051",
            "telephone_number": "305-654-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORMD OF NORTH MIAMI BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "954-770-8613"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2020; 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.