Organization Active NPI

South Miami Pediatric Professionals, PA

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1194092072
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0043928 Issued in FL
Legal business name
SOUTH MIAMI PEDIATRIC PROFESSIONALS, PA
Practice address
8701 SW 128TH St
Miami, FL 33176-5952
Phone
(305) 234-1700
Fax
(305) 234-9966
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Lori Fein, M.D.
Title
Director
Phone
(305) 234-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0043928 FL Primary

Addresses

Primary practice location

8701 SW 128TH St
Miami, FL 33176-5952

Mailing address

8701 SW 128TH St
Miami, FL 33176-5952
Phone (305) 234-1700

National Provider Directory

National Provider Directory

Locations

8701 SW 128th St
Miami, FL 33176
Phone (305) 234-1700

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1194092072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765952",
            "telephone_number": "305-234-1700",
            "fax_number": "305-234-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765952",
            "telephone_number": "305-234-1700",
            "fax_number": "305-234-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI PEDIATRIC PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "FEIN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-234-1700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0043928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.