Active NPI
J. Benjamin Mathis Jr., M.D.
- Forensic Pathology Physician
- Miami, FL
National Provider Identifier
1306008602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- ME 112471
- Practice address
- 1851 NW 10TH Ave
Miami, FL 33136-1054 - Phone
- (305) 545-2488
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MT192720 | PA | |
| Forensic Pathology Physician | 207ZF0201X | ME 112471 | FL | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD444608 | PA |
Addresses
Primary practice location
1851 NW 10TH Ave
Miami, FL 33136-1054
Mailing address
1851 NW 10TH Ave
Miami, FL 33136-1054
Phone (305) 545-2488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 112471 | FL | MD | Forensic Pathology Physician |
| MD444608 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
| MT192720 | PA | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1306008602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 NW 10TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361054",
"telephone_number": "305-545-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 NW 10TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361054",
"telephone_number": "305-545-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "J. BENJAMIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "PA",
"license": "MT192720",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "FL",
"license": "ME 112471",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD444608",
"primary": false
}
],
"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 May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.