Individual provider Active NPI

Gimol Edith Anidjar, ARNP

  • Family Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1316340763
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9364624 Issued in FL
Practice address
2999 191St St
Suite 250
Aventura, FL 33180
Phone
(305) 933-1011
NPI assigned
Sep 30, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218000458 FL Practitioner - Nurse Practitioner 6800111790 Reassigns benefits to 1 organization

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
Tory Sullivan MD PAGroup PAC ID 2365460599, 4 clinicians

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

LicenseStateTypeSpecialty
ARNP9364624FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tory Sullivan MD PA CurrentSince Apr 8, 2019 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.

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

Verify at the official NPI Registry.