Organization Active NPI

Miami Beach TMS PLLC

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1346987005
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIAMI BEACH TMS PLLC
Practice address
975 Arthur Godfrey Rd Ste 305
Miami Beach, FL 33140-3350
Phone
(305) 490-1989
NPI assigned
May 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Durim Bozhdaraj, MDNPI 1750791281
Title
Manager
Phone
(305) 585-1111

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

975 Arthur Godfrey Rd Ste 305
Miami Beach, FL 33140-3350

Mailing address

4401 Royal Palm Ave
Miami Beach, FL 33140-3039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101001255 FL Part B Supplier - Clinic/Group Practice 8022485242 Receives reassigned benefits from 2 practitioners
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

975 Arthur Godfrey Rd
Ste 305
Miami Beach, FL 33140
Phone (786) 321-2931

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": "1652572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1346987005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ROYAL PALM AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 ARTHUR GODFREY RD STE 305",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403350",
            "telephone_number": "305-490-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BEACH TMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "BOZHDARAJ",
        "authorized_official_first_name": "DURIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-585-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.