Active NPI
Good Samaritan Pediatrics
- Pediatrics Physician
- North Miami Beach, FL
National Provider Identifier
1235330507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0064836
- Legal business name
- GOOD SAMARITAN PEDIATRICS
- Practice address
- 16800 NW 2ND Ave
Suite 604
North Miami Beach, FL 33169-5549 - Phone
- (305) 653-0013
- Fax
- (305) 653-0590
- NPI assigned
- May 31, 2007
- 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
- Dr. Gesner Delva, M.D.
- Title
- President
- Phone
- (305) 653-0013
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0064836 | FL | Primary |
Addresses
Primary practice location
16800 NW 2ND Ave
Suite 604
North Miami Beach, FL 33169-5549
Mailing address
16800 NW 2ND Ave
Suite 604
North Miami Beach, FL 33169-5549
Phone (305) 653-0013
National Provider Directory
National Provider DirectoryLocations
16800 NW 2nd Ave
Ste 604
North Miami Beach, FL 33169
Phone (305) 653-0013
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- North Miami Beach, FL
- NPI 1750347779
-
- Family Nurse Practitioner
- Southwest Ranches, FL
- NPI 1346786142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235330507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 NW 2ND AVE",
"address_2": "SUITE 604",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695549",
"telephone_number": "305-653-0013",
"fax_number": "305-653-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16800 NW 2ND AVE",
"address_2": "SUITE 604",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695549",
"telephone_number": "305-653-0013",
"fax_number": "305-653-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELVA",
"authorized_official_first_name": "GESNER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-653-0013",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0064836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.