Organization Active NPI

Mahboobeh Goltapeh , M.D., PA

  • Medical Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1245538503
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 50341 Issued in FL
Legal business name
MAHBOOBEH GOLTAPEH , M.D., PA
Practice address
3661 S Miami Ave
904
Miami, FL 33133-4236
Phone
(305) 854-9878
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Mahboobeh Goltapeh, M.D.
Title
Medical Director
Phone
30585498768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 50341 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
904
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave
904
Miami, FL 33133-4236
Phone (305) 854-9878

National Provider Directory

National Provider Directory

Locations

3661 S Miami Ave
Ste 904
Miami, FL 33133
Phone (305) 854-5811

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1245538503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "904",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "904",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHBOOBEH GOLTAPEH , M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "GOLTAPEH",
        "authorized_official_first_name": "MAHBOOBEH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "30585498768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 50341",
            "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 Mar 9, 2011; 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.