NPIMap

Organization Active NPI

Novo Medical Group LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1396441044
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVO MEDICAL GROUP LLC
Practice address
7270 NW 12TH St Ste 410
Miami, FL 33126-1941
Phone
(305) 456-6997
NPI assigned
Feb 3, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Dionnys J De Armas
Title
Ambr
Phone
(305) 717-8494

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Family Medicine Physician 207Q00000X NU
Physical Therapist 225100000X NU
Massage Therapist 225700000X NU
Occupational Therapist 225X00000X NU
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

7270 NW 12TH St Ste 410
Miami, FL 33126-1941

Mailing address

7270 NW 12TH St Ste 410
Miami, FL 33126-1941
Phone (305) 456-6997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230601000609 FL Part B Supplier - Clinic/Group Practice 1850758160 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2282799Novo Medical Group LLC7270 NW 12TH Ste 410, Miami, FL 33126Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

7270 NW 12th St
Ste 130A
Miami, FL 33126
Phone (305) 456-6997

7270 NW 12th St
Ste 410
Miami, FL 33126
Phone (305) 456-6997

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1396441044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 NW 12TH ST STE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261941",
            "telephone_number": "305-456-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 NW 12TH ST STE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261941",
            "telephone_number": "305-456-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "DE ARMAS",
        "authorized_official_first_name": "DIONNYS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "305-717-8494"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.