Organization Active NPI

North Beach Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
National Provider Identifier
1104844562
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NORTH BEACH DIALYSIS CENTER, LLC
Practice address
16600 NW 13TH Avenue
Miami, FL 33169
Phone
(305) 653-7222
Fax
(305) 653-0023
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Steven Jeger
Title
VP
Phone
(305) 651-3261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

16600 NW 13TH Avenue
Miami, FL 33169

Mailing address

1000 Park Centre Blvd Ste 134
Miami, FL 33169-5373
Phone (305) 651-5762

Other identifiers 1

IdentifierTypeStateIssuer
200551400MedicaidFL

Other names 1

  • Physicians Dialysis North Beach Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070905000577 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 3779676846 Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0937543North Beach Dialysis Center16600 NW 13TH Avenue, Miami, FL 33169Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

16600 NW 13th Ave
Miami, FL 33169
Phone (305) 653-7222

19559 N E 10 Ave
North Miami Beach, FL 33179

17801 NW 2nd Ave
Ste 229
North Miami Beach, FL 33169
Phone (305) 653-7222

Practitioners & affiliated clinicians

Practitioners 1

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1104844562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD STE 134",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-651-5762",
            "fax_number": "305-651-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 NW 13TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-653-7222",
            "fax_number": "305-653-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEACH DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "JEGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-651-3261"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200551400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Dialysis North Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians Dialysis North Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.

Verify at the official NPI Registry.