Active NPI
North Beach Dialysis Center, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami, FL
National Provider Identifier
1104844562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200551400 | Medicaid | FL |
Other names 1
- Physicians Dialysis North Beach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070905000577 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3779676846 | Practice locations: Miami, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0937543 | North Beach Dialysis Center | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- North Miami Beach, FL
- NPI 1639132897
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.