Active NPI
FG Health Group, LLC
- Clinical Medical Laboratory
- North Miami Beach, FL
National Provider Identifier
1356958631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- FG HEALTH GROUP, LLC
- Practice address
- 115 NW 167TH St Ste 101
North Miami Beach, FL 33169-6052 - Phone
- (305) 900-6252
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gershon Fink
- Title
- Owner
- Phone
- (786) 521-1587
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
115 NW 167TH St Ste 101
North Miami Beach, FL 33169-6052
Mailing address
4401 Royal Palm Ave
Miami Beach, FL 33140-3039
Phone (917) 596-9387
National Provider Directory
National Provider DirectoryLocations
115 NW 167th St
Ste 101
North Miami Beach, FL 33169
Phone (305) 900-6252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1356958631",
"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",
"telephone_number": "917-596-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NW 167TH ST STE 101",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331696052",
"telephone_number": "305-900-6252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FG HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "FINK",
"authorized_official_first_name": "GERSHON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-521-1587"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North 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 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.