Active NPI
Jackson Memorial Hospital
- General Acute Care Hospital
- Miami, FL
National Provider Identifier
1205081262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- ND5329
- Legal business name
- JACKSON MEMORIAL HOSPITAL
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 585-1111
- NPI assigned
- Nov 18, 2008
- 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
- Peter Reilly, R.D.
- Title
- Dietitian
- Phone
- (718) 349-3674
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | ND5329 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 585-1111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226966400000",
"number": "1205081262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A",
"authorized_official_last_name": "REILLY",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "718-349-3674",
"authorized_official_credential": "R.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "FL",
"license": "ND5329",
"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 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.