MJD Wellness and Community Center Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MJD WELLNESS AND COMMUNITY CENTER INC

Practice address

822 NE 125TH St Ste 103
North Miami, FL 33161-5729

Phone

(786) 406-5886

NPI assigned

May 25, 2020

Organization subpart

No

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

Authorized official

Name

Emmanuella Fluerimont, BS

Title

Ceo

Phone

(786) 406-5886

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alphonse Giloux Dufreny, MD

  • General Practice Physician
  • Margate, FL
  • NPI 1356311922
  Medicare reassignment NPD

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1275156259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 NE 125TH ST STE 103",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615729",
            "telephone_number": "786-534-3896",
            "fax_number": "786-431-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 NE 125TH ST STE 103",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615729",
            "telephone_number": "786-406-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJD WELLNESS AND COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "FLUERIMONT",
        "authorized_official_first_name": "EMMANUELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-406-5886",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Michel
• Rosie Michel
• Joey Miller, DPT
• Mark Miller
• Lorraine Adassa Mitchell, PH.D.
• MNS Healthcare Solutions LLC
• Mobile Midwife, Inc
• Shirley Mobley
• Hamidreza Moghaddam, M.D.
• Claudine NMN Moise

• Primary Care Clinic/Center in North Miami, FL
• Providers in North Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.