Individual provider Active NPI

Cynisia T McBean, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1235305244
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104368 Issued in FL
Practice address
1521 NW 54TH St
Miami, FL 33142-3807
Phone
(305) 278-0200
Fax
(786) 235-0145
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104368 FL Primary

Addresses

Primary practice location

1521 NW 54TH St
Miami, FL 33142-3807

Mailing address

11255 SW 211TH St
Miami, FL 33189-2240
Phone (305) 278-0200

Other identifiers 1

IdentifierTypeStateIssuer
PA9104368OtherFLPHYSICIAN ASSISTANT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000510 FL Practitioner - Physician Assistant 2860543527 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Centers CurrentSince Apr 2, 2018 Accepting new patients
Palm Medical Center Plantation, LLC CurrentSince Apr 2, 2018 Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

6849 Taft St
Hollywood, FL 33024
Phone (954) 266-2920

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1235305244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11255 SW 211TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892240",
            "telephone_number": "305-278-0200",
            "fax_number": "786-235-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423807",
            "telephone_number": "305-278-0200",
            "fax_number": "786-235-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEAN",
        "first_name": "CYNISIA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA9104368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.