Organization Active NPI

Mediplus Clinic, Inc.

  • Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1184234510
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDIPLUS CLINIC, INC.
Practice address
151 S.W 6TH Street
Pompano Beach, FL 33060
Phone
(954) 532-3982
Fax
(954) 206-2288
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Lossaire Bien-Aime
Title
Secretary
Phone
(954) 709-0665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

151 S.W 6TH Street
Pompano Beach, FL 33060

Mailing address

151 S.W 6TH Street
Pompano Beach, FL 33060
Phone (954) 532-3982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214000631 FL Part B Supplier - Clinic/Group Practice 5799197943 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

3081 E Commercial Blvd
Ste 107
Ft Lauderdale, FL 33308

151 SW 6th St
Pompano Beach, FL 33060
Phone (954) 532-3982

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1184234510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S.W 6TH STREET",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33060",
            "telephone_number": "954-532-3982",
            "fax_number": "954-206-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S.W 6TH STREET",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33060",
            "telephone_number": "954-532-3982",
            "fax_number": "954-206-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPLUS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "BIEN-AIME",
        "authorized_official_first_name": "LOSSAIRE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "954-709-0665"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.