Organization Active NPI

Alina Health Medical Center Corp.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1144975418
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALINA HEALTH MEDICAL CENTER CORP.
Practice address
4800 N State Road 7 Ste C
Lauderdale Lakes, FL 33319-5811
Phone
(305) 767-0887
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Gravil Joseph, MDNPI 1164960720
Title
Owner
Phone
(305) 767-0887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Community/Behavioral Health Agency 251S00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Abuse Rehabilitation Facility 324500000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

4800 N State Road 7 Ste C
Lauderdale Lakes, FL 33319-5811

Mailing address

4800 N State Road 7 Ste Abandc
Lauderdale Lakes, FL 33319-5811

Other practice location 1

4800 N State Road 7 Ste A
Lauderdale Lakes, FL 33319-5811
Phone (305) 767-0887

Other practice location 2

4800 N State Road 7 Ste B
Lauderdale Lakes, FL 33319-5811
Phone (305) 767-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000743 FL Part B Supplier - Clinic/Group Practice 7517352214 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Lauderdale Lakes, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1144975418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N STATE ROAD 7 STE ABANDC",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N STATE ROAD 7 STE C",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195811",
            "telephone_number": "305-767-0887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 N State Road 7 Ste A",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333195811",
            "country_code": "US",
            "telephone_number": "305-767-0887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 N State Road 7 Ste B",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333195811",
            "country_code": "US",
            "telephone_number": "305-767-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALINA HEALTH MEDICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "GRAVIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-767-0887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.