Organization Active NPI

FG Health Group, LLC

  • Clinical Medical Laboratory
  • North Miami Beach, FL
National Provider Identifier
1356958631
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on May 5, 2022

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.