Organization Active NPI

North Miami Medical JPM&Inc

  • Family Medicine Physician
  • North Miami, FL
National Provider Identifier
1346040037
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH MIAMI MEDICAL JPM&INC
Practice address
823 NE 125TH St
North Miami, FL 33161-5711
Phone
(305) 895-7840
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Mr. Jean Paul Metellus
Title
Owner
Phone
(305) 219-4121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

823 NE 125TH St
North Miami, FL 33161-5711

Mailing address

823 NE 125TH St
North Miami, FL 33161-5711
Phone (305) 895-7840

Other names 1

  • NORTH MIAMI MEDICAL JPM&INC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1346040037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615711",
            "telephone_number": "305-895-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615711",
            "telephone_number": "305-895-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MIAMI MEDICAL JPM&INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "METELLUS",
        "authorized_official_first_name": "JEAN PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-219-4121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH MIAMI MEDICAL JPM&INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.