Active NPI
Elias Milgram M.D. L.L.C.
- Clinic/Center
- Aventura, FL
National Provider Identifier
1184014276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- ME81124
- Legal business name
- ELIAS MILGRAM M.D. L.L.C.
- Practice address
- 2875 NE 191St St
Suite 604
Aventura, FL 33180-2801 - Phone
- (305) 932-3083
- NPI assigned
- Jan 28, 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. Elias Milgram, M.D.
- Title
- President
- Phone
- (305) 490-8690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ME81124 | FL | Primary |
Addresses
Primary practice location
2875 NE 191St St
Suite 604
Aventura, FL 33180-2801
Mailing address
2875 NE 191St St
Suite 604
Aventura, FL 33180-2801
Phone (305) 932-3083
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264396100 | Medicaid | FL | |
| 11340235 | Other | CAQH | |
| BM7022875 | Other | D.E.A. | |
| 93507690023 | Other | AMA EDUC# |
National Provider Directory
National Provider DirectoryLocations
2875 NE 191st St
Ste 604
Aventura, FL 33180
Phone (305) 932-3083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422403200000",
"number": "1184014276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 NE 191ST ST",
"address_2": "SUITE 604",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802801",
"telephone_number": "305-932-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 NE 191ST ST",
"address_2": "SUITE 604",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802801",
"telephone_number": "305-932-3083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIAS MILGRAM M.D. L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-28",
"last_updated": "2015-01-28",
"status": "A",
"authorized_official_last_name": "MILGRAM",
"authorized_official_first_name": "ELIAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-490-8690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "ME81124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264396100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11340235",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D.E.A.",
"identifier": "BM7022875",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMA EDUC#",
"identifier": "93507690023",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.