Active NPI
Mercy Hospital Inc
- Rehabilitation Hospital Unit
- Miami, FL
National Provider Identifier
1164401170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 4002
- Legal business name
- MERCY HOSPITAL INC
- Practice address
- 3663 South Miami Avenue
Miami, FL 33133 - Phone
- (305) 860-5239
- Fax
- (305) 860-4668
- NPI assigned
- Jan 10, 2006
- 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
- Mr. John E Matuska, CEO
- Title
- Chief Executive Officer
- Phone
- (305) 854-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 4002 | FL | Primary |
Addresses
Primary practice location
3663 South Miami Avenue
Miami, FL 33133
Mailing address
3663 South Miami Avenue
Miami, FL 33133
Phone (305) 860-5239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
2901 Sillect Ave
Ste 202
Bakersfield, CA 93308
Phone (661) 324-7300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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": "1136851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164401170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 SOUTH MIAMI AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33133",
"telephone_number": "305-860-5239",
"fax_number": "305-860-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 SOUTH MIAMI AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33133",
"telephone_number": "305-860-5239",
"fax_number": "305-860-4668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATUSKA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "305-854-4400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "FL",
"license": "4002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "229",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.