Privamedis LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIVAMEDIS LLC

Practice address

4308 Alton Rd Ste 880
Miami Beach, FL 33140-4560

Phone

(305) 604-2888

Fax

(305) 604-2887

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Gary Joseph Merlino, D.O.

Title

Physicians / President

Phone

(304) 604-2888

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1356809057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 880",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-604-2888",
            "fax_number": "305-604-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 880",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404560",
            "telephone_number": "305-604-2888",
            "fax_number": "305-604-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVAMEDIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIANS / PRESIDENT",
        "authorized_official_telephone_number": "304-604-2888",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDCINE",
            "identifier": "NONE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.