Organization Active NPI

Seth Gottlieb, M.D.,P.a.

  • Pulmonary Disease Physician
  • Miami Beach, FL
National Provider Identifier
1275577553
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 68259 Issued in FL
Legal business name
SETH GOTTLIEB, M.D.,P.A.
Practice address
4302 Alton Rd Ste 710
Miami Beach, FL 33140-2877
Phone
(305) 534-2155
Fax
(305) 534-2035
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Dr. Seth Gottlieb, MD
Title
Owner
Phone
(305) 534-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME 68259 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 710
Miami Beach, FL 33140-2877

Mailing address

4302 Alton Rd Ste 710
Miami Beach, FL 33140-2877
Phone (305) 534-2155

Other identifiers 3

IdentifierTypeStateIssuer
26882OtherFLBLUE CROSS BLUE SHIELD
378455000MedicaidFL
1003810763OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

4300 Alton Rd
Ofc
Miami Beach, FL 33140
Phone (305) 534-2155

4302 Alton Rd
Ste 710
Miami Beach, FL 33140
Phone (305) 538-3828

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1275577553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 710",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402877",
            "telephone_number": "305-534-2155",
            "fax_number": "305-534-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 710",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402877",
            "telephone_number": "305-534-2155",
            "fax_number": "305-534-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH GOTTLIEB, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-534-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 68259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26882",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378455000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003810763",
            "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 20, 2019; 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.