Active NPI
Roza Gurarye, MD, PA
- Family Medicine Physician
- North Miami Beach, FL
National Provider Identifier
1467696286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME45646
- Legal business name
- ROZA GURARYE, MD, PA
- Practice address
- 2020 NE 163Rd St Ste 105
North Miami Beach, FL 33162-4927 - Phone
- (305) 948-3985
- NPI assigned
- Apr 23, 2009
- 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
- Mrs. Roza Boris Gurarye, MD
- Title
- Owner
- Phone
- (305) 785-7793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME45646 | FL | Primary |
Addresses
Primary practice location
2020 NE 163Rd St Ste 105
North Miami Beach, FL 33162-4927
Mailing address
2020 NE 163Rd St Ste 105
North Miami Beach, FL 33162-4927
Phone (305) 948-3985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042371800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2020 NE 163rd St
Ste 105
North Miami Beach, FL 33162
Phone (305) 948-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240444800000",
"number": "1467696286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 NE 163RD ST STE 105",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624927",
"telephone_number": "305-948-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 NE 163RD ST STE 105",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624927",
"telephone_number": "305-948-3985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROZA GURARYE, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-23",
"last_updated": "2009-04-23",
"status": "A",
"authorized_official_last_name": "GURARYE",
"authorized_official_first_name": "ROZA",
"authorized_official_middle_name": "BORIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-785-7793",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME45646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042371800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.