Active NPI
Optimum Medical Center PLLC
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1467117150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OPTIMUM MEDICAL CENTER PLLC
- Practice address
- 790 NW 107TH Ave
Miami, FL 33172-3130 - Phone
- (786) 323-7069
- NPI assigned
- Nov 8, 2021
- Last updated
- Dec 19, 2021
- 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
- Dr. Uyi Stephen Aideyan, MD
- Title
- Manager
- Phone
- (347) 209-7069
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
790 NW 107TH Ave
Miami, FL 33172-3130
Mailing address
6900 NW 106TH Ave
Doral, FL 33178-3239
Phone (786) 323-7069
National Provider Directory
National Provider DirectoryLocations
790 NW 107th Ave
Miami, FL 33172
Phone (305) 964-5426
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1437406386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639872000000",
"number": "1467117150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 NW 106TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331783239",
"telephone_number": "786-323-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NW 107TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331723130",
"telephone_number": "786-323-7069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-08",
"last_updated": "2021-12-19",
"certification_date": "2021-12-19",
"status": "A",
"authorized_official_last_name": "AIDEYAN",
"authorized_official_first_name": "UYI",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "347-209-7069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Optimal Therapy Care Inc
- Optimum Anesthesia Associates, PLLC
- Optimum Health Solutions, Inc.
- Optimum Imaging Diagnostics, Corp.
- Optimum Imaging, LLC.
- Optimum Medical Equipment, Inc.
- Optimum Mental Health Solutions Inc
- Optimum Rehabilitation Center Inc
- Optimum Sleep Solutions, Inc.
- Optimum Staffing Services LLC (Optimum Home Health Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.