NPIMap

Organization Active NPI

Selem Center, LLC

  • Ophthalmology Physician
  • Coral Gables, FL
National Provider Identifier
1336450006
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 103925 Issued in FL
Legal business name
SELEM CENTER, LLC
Practice address
814 Ponce de Leon Blvd
Suite 510
Coral Gables, FL 33134-3049
Phone
(305) 444-0221
Fax
(305) 444-0223
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Joseph Selem, M.D.NPI 1003131939
Title
President
Phone
(305) 444-0221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X ME 103925 FL Primary

Addresses

Primary practice location

814 Ponce de Leon Blvd
Suite 510
Coral Gables, FL 33134-3049

Mailing address

609 Cadagua Ave
Coral Gables, FL 33146-1711
Phone (305) 492-5536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000638 FL Part B Supplier - Clinic/Group Practice 7113119306 Receives reassigned benefits from 3 practitioners
Practice locations: Homestead, FL; Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory
Tax ID family
The Selem Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3850 SW 87th Ave
Ste 510
Miami, FL 33165

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1336450006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CADAGUA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461711",
            "telephone_number": "305-492-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD",
            "address_2": "SUITE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343049",
            "telephone_number": "305-444-0221",
            "fax_number": "305-444-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELEM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "SELEM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-0221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 103925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.