Active NPI
Maryam Abdullah H Aldossary, RN
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1265196281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11016301
- Practice address
- 201 SE 2ND Ave Apt 2521
Miami, FL 33131-2260 - Phone
- (312) 721-0364
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9510472 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11016301 | FL | Primary |
Addresses
Primary practice location
201 SE 2ND Ave Apt 2521
Miami, FL 33131-2260
Mailing address
201 SE 2ND Ave Apt 2521
Miami, FL 33131-2260
Phone (312) 721-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9510472 | FL | MD | Registered Nurse |
| 11016301 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr GS Urgent Care LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1265196281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SE 2ND AVE APT 2521",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312260",
"telephone_number": "312-721-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SE 2ND AVE APT 2521",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312260",
"telephone_number": "312-721-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDOSSARY",
"first_name": "MARYAM",
"middle_name": "ABDULLAH H",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "FL",
"license": "9510472",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11016301",
"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 Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.