Active NPI
Grigory Kliger, MD
- Pulmonary Disease Physician
- Davie, FL
National Provider Identifier
1124074208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME 82106
- Practice address
- 5595 Orange Dr
Suite 206
Davie, FL 33314-3825 - Phone
- (954) 583-5099
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME 82106 | FL | Primary |
Addresses
Primary practice location
5595 Orange Dr
Suite 206
Davie, FL 33314-3825
Mailing address
17150 Collins Ave
Suite 101-315
Sunny Isles Beach, FL 33160-3688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265599300 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 82106 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Specialty Care PA | Past | Accepting new patients | |
| Sunny Isles Medical-Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1124074208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 COLLINS AVE",
"address_2": "SUITE 101-315",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331603688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5595 ORANGE DR",
"address_2": "SUITE 206",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143825",
"telephone_number": "954-583-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIGER",
"first_name": "GRIGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME 82106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265599300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.