NPIMap

Organization Active NPI

Atlantic Pediatric Partners LLC

Doing business as South Florida Pediatric Partners

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1417238650
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME49566 Issued in FL
Legal business name
ATLANTIC PEDIATRIC PARTNERS LLC
Doing business as
South Florida Pediatric Partners
Practice address
6963 SW 117TH Ave
Miami, FL 33183-2803
Phone
(305) 595-3225
Fax
(305) 595-7812
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Paul J. Goldberg, M.D.NPI 1649269903
Title
Ceo
Phone
(954) 435-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME49566 FL Primary

Addresses

Primary practice location

6963 SW 117TH Ave
Miami, FL 33183-2803

Mailing address

7800 SW 87TH Ave
Suite C-350
Miami, FL 33173-2539
Phone (954) 731-9676

Other identifiers 1

IdentifierTypeStateIssuer
259723312MedicaidFL

Other names 1

  • South Florida Pediatric Partners Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1417238650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "address_2": "SUITE C-350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732539",
            "telephone_number": "954-731-9676",
            "fax_number": "954-731-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832803",
            "telephone_number": "305-595-3225",
            "fax_number": "305-595-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PEDIATRIC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-435-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME49566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259723312",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Pediatric Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida Pediatric Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2020; 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.