Jackson North Hospitalist Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACKSON NORTH HOSPITALIST GROUP LLC

Practice address

17395 N Bay Rd Ste 108
Sunny Isles Beach, FL 33160-3307

Phone

(305) 974-5933

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Maher Nana, MD

Title

MGR

Phone

(305) 974-5933

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1316401227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD STE 108",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603307",
            "telephone_number": "305-974-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD STE 108",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603307",
            "telephone_number": "305-974-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON NORTH HOSPITALIST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "NANA",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-974-5933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME106393",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.