Active NPI
MG Medical PA
- Internal Medicine Physician
- Sunny Isles Beach, FL
National Provider Identifier
1174443071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2026
- 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
- Marina Gafanovich
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1942328802
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.