Organization Active NPI

Good Samaritan Pediatrics

  • Pediatrics Physician
  • North Miami Beach, FL
National Provider Identifier
1235330507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0064836 Issued in FL
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gesner Delva, M.D.NPI 1750347779
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.