Active NPI
Adam Stathas, M.D.
- Pediatrics Physician
- Coral Gables, FL
National Provider Identifier
1194258863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME144762
- Practice address
- 358 San Lorenzo Ave Ste 3230
Coral Gables, FL 33146-1448 - Phone
- (305) 444-6882
- NPI assigned
- Apr 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA11130400 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | ME144762 | FL | Primary |
Addresses
Primary practice location
358 San Lorenzo Ave Ste 3230
Coral Gables, FL 33146-1448
Mailing address
358 San Lorenzo Ave Ste 3230
Coral Gables, FL 33146-1448
Phone (305) 444-6882
Other practice location 1
23-00 Rt 2085
Suite 1-5
Fair Lawn, NJ 07410-1559
Phone (201) 797-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144762 | FL | MD | Pediatrics Physician |
| 25MA11130400 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
| Edelstein Salinero Llanso MD PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Coral Gables, FL
- NPI 1083819452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1194258863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 SAN LORENZO AVE STE 3230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461448",
"telephone_number": "305-444-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 SAN LORENZO AVE STE 3230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331461448",
"telephone_number": "305-444-6882"
}
],
"practiceLocations": [
{
"address_1": "23-00 Rt 2085",
"address_2": "Suite 1-5",
"address_purpose": "LOCATION",
"city": "Fair Lawn",
"state": "NJ",
"postal_code": "074101559",
"country_code": "US",
"telephone_number": "201-797-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STATHAS",
"first_name": "ADAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-09",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA11130400",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME144762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
- Gisel Alejandra Stark-Wechsler, ARNP
- Michelle McKeever Starke, M.D.
- Patricia Starkman, L.M.
- Starlight Medical Services PA
- State 27 Home Health Services LLC
- Heather Stein, DNP, APRN, PMHNP-BC
- Tristan Aaron Steinberger, M.D, M.B.A
- Lauren Zagorski Steiner, RD
- Step by Step Medical Equipment Inc
- Stephen E. Blythe, M.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.