Miami Regional Opco LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIAMI REGIONAL OPCO LLC

Practice address

11801 SW 90TH St
Miami, FL 33186-2182

Phone

(212) 220-9222

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Feliks Kogan

Title

Managing Partner

Phone

(917) 288-4414

Specialties & licenses 1

Addresses

Other names 1

• Miami Regional Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1124776844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARK AVE # 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221106",
            "telephone_number": "212-220-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SW 90TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862182",
            "telephone_number": "212-220-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI REGIONAL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "FELIKS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-288-4414"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Regional Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Miami Rehab Center
• Miami Rehab LLC
• Miami Reproductive Urology

• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.