Organization Active NPI

Real-Care Medical Inc

  • Family Medicine Physician
  • N Miami Beach, FL
National Provider Identifier
1437168762
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REAL-CARE MEDICAL INC
Practice address
58 NE 167TH St
N Miami Beach, FL 33162-3401
Phone
(305) 956-7787
Fax
(305) 956-7716
NPI assigned
Aug 5, 2006
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Ms. Marie Fleurgin, RNNPI 1245281500
Title
RN
Phone
(305) 956-7787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

58 NE 167TH St
N Miami Beach, FL 33162-3401

Mailing address

58 NE 167TH St
N Miami Beach, FL 33162-3401
Phone (305) 956-7787

Other identifiers 1

IdentifierTypeStateIssuer
271605400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000710 FL Part B Supplier - Clinic/Group Practice 1557313947 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Real Care Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1437168762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 NE 167TH ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623401",
            "telephone_number": "305-956-7787",
            "fax_number": "305-956-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 NE 167TH ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623401",
            "telephone_number": "305-956-7787",
            "fax_number": "305-956-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL-CARE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "FLEURGIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "305-956-7787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271605400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.