Organization Active NPI

Elias Milgram M.D. L.L.C.

  • Clinic/Center
  • Aventura, FL
National Provider Identifier
1184014276
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME81124 Issued in FL
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

Updated by the provider on Jan 28, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264396100MedicaidFL
11340235OtherCAQH
BM7022875OtherD.E.A.
93507690023OtherAMA EDUC#

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.