Active NPI
Miami Regional Opco LLC
Doing business as Miami Regional Surgery Center
- Ambulatory Surgical Clinic/Center
- Miami, FL
National Provider Identifier
1124776844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MIAMI REGIONAL OPCO LLC
- Doing business as
- Miami Regional Surgery Center
- Practice address
- 11801 SW 90TH St
Miami, FL 33186-2182 - Phone
- (212) 220-9222
- NPI assigned
- Mar 11, 2022
- Last updated
- Mar 11, 2022
- 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
- Feliks Kogan
- Title
- Managing Partner
- Phone
- (917) 288-4414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
11801 SW 90TH St
Miami, FL 33186-2182
Mailing address
505 Park Ave # 1700
New York, NY 10022-1106
Phone (212) 220-9922
Other names 1
- Miami Regional Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220727002274 | FL | Part B Supplier - Ambulatory Surgical Center | 6901288695 | Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
505 Park Ave
Fl 1700
New York, NY 10022
NPI Registry JSON
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"
}
]
}
Other providers in Miami, FL
- Miami Quality Healthcare
- Miami Radiology Associates PA
- Miami Recovery Project Inc (Miami Recovery Project)
- Miami Regional Dialysis Center West, LLC (Fresenius Kidney Care Miami Park Centre)
- Miami Regional Medical Equipment, Inc.
- Miami Regional Surgery Center LLC
- Miami Rehab and Wellness Center Inc
- Miami Rehab Center
- Miami Rehab LLC
- Miami Reproductive Urology
Sources for this page
- 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.