NPIMap

Organization Active NPI

Healthstone Medical Group, LLC

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1235482480
Registry record updated Oct 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTHSTONE MEDICAL GROUP, LLC
Practice address
21097 NE 27TH CT
Suite 110
Aventura, FL 33180-1206
Phone
(305) 682-8809
Fax
(305) 682-8623
NPI assigned
Oct 24, 2012
Last updated
Oct 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2015

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

Authorized official

Name
Brian Polner, MD
Title
Manager
Phone
(954) 967-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

21097 NE 27TH CT
Suite 110
Aventura, FL 33180-1206

Mailing address

2905 N Commerce Pkwy
Miramar, FL 33025-3957
Phone (954) 967-6550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445126400000",
    "number": "1235482480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N COMMERCE PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253957",
            "telephone_number": "954-967-6550",
            "fax_number": "954-893-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT",
            "address_2": "SUITE 110",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801206",
            "telephone_number": "305-682-8809",
            "fax_number": "305-682-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTONE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2015-10-18",
        "status": "A",
        "authorized_official_last_name": "POLNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-967-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; 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.