Organization Active NPI

Roza Gurarye, MD, PA

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1467696286
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME45646 Issued in FL
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

Updated by the provider on Apr 23, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
042371800MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.