Organization Active NPI

MG Medical PA

  • Internal Medicine Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1174443071
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MG MEDICAL PA
Practice address
17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307
Phone
(212) 249-6218
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Marina GafanovichNPI 1942328802
Title
MD
Phone
(646) 662-7574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307

Mailing address

17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1174443071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD STE 108",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD STE 108",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603307",
            "telephone_number": "212-249-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "GAFANOVICH",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-662-7574"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.