Organization Active NPI

Klara Gershman M.D.

  • Primary Care Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1265666945
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 39457 Issued in FL
Legal business name
KLARA GERSHMAN M.D.
Practice address
777 17TH St
Suite 400
Miami Beach, FL 33139-1895
Phone
(305) 673-3555
Fax
(305) 673-1960
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Mrs. Klara Gershman, M.D.NPI 1942266002
Title
Medical Doctor
Phone
(305) 673-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 39457 FL Primary

Addresses

Primary practice location

777 17TH St
Suite 400
Miami Beach, FL 33139-1895

Mailing address

777 17TH St
Suite 400
Miami Beach, FL 33139-1895
Phone (305) 673-3555

Other identifiers 1

IdentifierTypeStateIssuer
2547473000MedicaidFL

National Provider Directory

National Provider Directory

Locations

1701 Meridian Ave
Ste 400
Miami Beach, FL 33139
Phone 3055761234300

Practitioners & affiliated clinicians

Practitioners 1

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1265666945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 17TH ST",
            "address_2": "SUITE 400",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391895",
            "telephone_number": "305-673-3555",
            "fax_number": "305-673-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 17TH ST",
            "address_2": "SUITE 400",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391895",
            "telephone_number": "305-673-3555",
            "fax_number": "305-673-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLARA GERSHMAN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "GERSHMAN",
        "authorized_official_first_name": "KLARA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-673-3555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 39457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2547473000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.