Organization Active NPI

Chrysalis Health of Florida P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
National Provider Identifier
1346873015
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CHRYSALIS HEALTH OF FLORIDA P.A.
Practice address
382 NE 191St St # 52404
Miami, FL 33179-3899
Phone
(434) 248-7508
Fax
(213) 340-5870
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Andrew Cunningham, MDNPI 1174799944
Title
President
Phone
(434) 248-7508

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

382 NE 191St St # 52404
Miami, FL 33179-3899

Mailing address

136 E 76TH St Apt 8F
New York, NY 10021-2831
Phone (434) 248-7508

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.palomahealth.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

382 NE 191st St
#52404
Miami, FL 33179

382 NE 191st St
Ste 52404
Miami, FL 33179

386 Park Ave S
Fl 5
New York, NY 10016

2863 NW Crossing Dr
Ste 213
Bend, OR 97703

2009 Mackenzie Way
Cranberry Twp, PA 16066
Phone (412) 696-3580

1780 Barnes Blvd SW
Tumwater, WA 98512
Phone (212) 993-7809

Practitioners & affiliated clinicians

Practitioners 7

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1346873015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 76TH ST APT 8F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212831",
            "telephone_number": "434-248-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST # 52404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "434-248-7508",
            "fax_number": "213-340-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS HEALTH OF FLORIDA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-248-7508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.palomahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "382 NE 191st St # 52404",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.