Active NPI
Pediatric &Adolescent Medicine
- Pediatric Adolescent Medicine Physician
- Hialeah, FL
National Provider Identifier
1154712198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- ME0063187
- Legal business name
- PEDIATRIC &ADOLESCENT MEDICINE
- Doing business as
- Pediatric &Adolescent Medicine
- Practice address
- 7150 W 20TH Ave Ste 612
Hialeah, FL 33016-5534 - Phone
- (305) 827-1561
- NPI assigned
- Feb 12, 2015
- 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
- Dr. Robert Bellamine O'Neill, M.D.
- Title
- Doctor
- Phone
- (305) 827-1561
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME0063187 | FL | Primary |
Addresses
Primary practice location
7150 W 20TH Ave Ste 612
Hialeah, FL 33016-5534
Mailing address
7150 W 20TH Ave Ste 612
Hialeah, FL 33016-5534
Phone (305) 827-1561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372063200 | Medicaid | FL |
Other names 1
- Pediatric &Adolescent Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Adolescent Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Hialeah, FL
- NPI 1487486379
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Hialeah, FL
- NPI 1205810439
-
- Family Nurse Practitioner
- Hialeah, FL
- NPI 1679043566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423699200000",
"number": "1154712198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 W 20TH AVE STE 612",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165534",
"telephone_number": "305-827-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 W 20TH AVE STE 612",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165534",
"telephone_number": "305-827-1561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC &ADOLESCENT MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-12",
"last_updated": "2015-02-12",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BELLAMINE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "305-827-1561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME0063187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372063200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric &Adolescent Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hialeah, FL
- Peace & Harmony Community MH Inc
- Peace Home Health Care Center Corp
- Peaceful Minds Wellness Center
- Peaceful Path Clinic Inc (Peaceful Home Care)
- Pediatric & Family Urgent Care CTRS of So. Fla Inc.
- Pediatric and Family Clinics
- Pediatric Dental & Orthodontics Specialists, PA (Superteeth Pediatric and Orthodontics of Hialeah Gardens)
- Pediatric Dentistry Inc
- Pediatric Providers of S Florida (Jorge L Cabrera MD)
- Pediatric Providers of S. Fla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.