Individual provider Active NPI

Paul Pugliese, MD

  • Internal Medicine Physician
  • N Miami Beach, FL
National Provider Identifier
1467437889
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65294 Issued in FL
Practice address
16800 NW 2ND Ave Ste 400
N Miami Beach, FL 33169-5501
Phone
(305) 690-3718
Fax
(305) 690-4875
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME65294 FL Primary

Addresses

Primary practice location

16800 NW 2ND Ave Ste 400
N Miami Beach, FL 33169-5501

Mailing address

16800 NW 2ND Ave Ste 400
N Miami Beach, FL 33169-5501
Phone (305) 690-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170131000527 FL Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 4587700695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: ppugliese51394@direct.med.miami.edu

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1467437889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "305-690-3718",
            "fax_number": "305-690-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "305-690-3718",
            "fax_number": "305-690-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.