Active NPI
Gimol Edith Anidjar, ARNP
- Family Nurse Practitioner
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9364624
- Practice address
- 2999 191St St
Suite 250
Aventura, FL 33180 - Phone
- (305) 933-1011
- NPI assigned
- Sep 30, 2014
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9364624 | FL | Primary |
Addresses
Primary practice location
2999 191St St
Suite 250
Aventura, FL 33180
Mailing address
6000 Island Blvd Apt 3001
Aventura, FL 33160-3795
Phone (786) 247-6196
Other practice location 1
16100 NE 16th Ave Ste A
North Miami Beach, FL 33162-4708
Phone (305) 652-8600
Other names 1
- Edith Anidjar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2999 NE 191St St
Suite 250
Aventura, FL 33180-3115
Phone (305) 933-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9364624 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tory Sullivan MD PA | Current | Accepting new patients |
Locations
2999 NE 191st St
Ste 250
Aventura, FL 33180
Phone (305) 830-3650
2500 N Federal Hwy
Ste 301
Ft Lauderdale, FL 33305
Phone (305) 652-8600
16100 NE 16th Ave
North Miami Beach, FL 33162
Phone (305) 652-8600
16100 NE 16th Ave
#A
North Miami Beach, FL 33162
Phone (305) 652-8600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316340763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 ISLAND BLVD APT 3001",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331603795",
"telephone_number": "786-247-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 191ST ST",
"address_2": "SUITE 250",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-933-1011"
}
],
"practiceLocations": [
{
"address_1": "16100 NE 16th Ave Ste A",
"address_purpose": "LOCATION",
"city": "North Miami Beach",
"state": "FL",
"postal_code": "331624708",
"country_code": "US",
"telephone_number": "305-652-8600",
"fax_number": "305-652-3139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANIDJAR",
"first_name": "GIMOL",
"middle_name": "EDITH",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9364624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDITH",
"last_name": "ANIDJAR",
"credential": "ARNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- 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.