Individual provider Active NPI

Jeffrey David Kamlet, MD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1124034673
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0054330 Issued in FL
Practice address
300 Arthur Godfrey Rd
Ste 200
Miami Beach, FL 33140-3627
Phone
(305) 601-9595
Fax
(305) 601-9591
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X ME0054330 FL
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME0054330 FL
Internal Medicine Physician 207R00000X ME0054330 FL Primary

Addresses

Primary practice location

300 Arthur Godfrey Rd
Ste 200
Miami Beach, FL 33140-3627

Mailing address

300 Arthur Godfrey Rd
Ste 200
Miami Beach, FL 33140-3627
Phone (305) 601-9595

Other identifiers 1

IdentifierTypeStateIssuer
061577304MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0054330FLMDPain Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1124034673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ARTHUR GODFREY RD",
            "address_2": "STE 200",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403627",
            "telephone_number": "305-601-9595",
            "fax_number": "305-601-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARTHUR GODFREY RD",
            "address_2": "STE 200",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403627",
            "telephone_number": "305-601-9595",
            "fax_number": "305-601-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMLET",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME0054330",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME0054330",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061577304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.