Organization Active NPI

Physician'S at Home Visiting Program, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Miami, FL
National Provider Identifier
1114269933
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME93384 Issued in FL
Legal business name
PHYSICIAN'S AT HOME VISITING PROGRAM, INC.
Practice address
7085 SW 47TH St
Miami, FL 33155-4652
Phone
(786) 269-7939
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Dr. Simon C Abelson, MD
Title
President
Phone
(786) 269-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X ME93384 FL Primary

Addresses

Primary practice location

7085 SW 47TH St
Miami, FL 33155-4652

Mailing address

7085 SW 47TH St
Miami, FL 33155-4652
Phone (786) 269-7939

National Provider Directory

National Provider Directory

Locations

7378 SW 48th St
#B
Miami, FL 33155
Phone (718) 238-2100

7085 SW 47th St
Miami, FL 33155
Phone (305) 667-6200

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1114269933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554652",
            "telephone_number": "786-269-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 SW 47TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554652",
            "telephone_number": "786-269-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S AT HOME VISITING PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "ABELSON",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-269-7939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME93384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 2017; 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.