Maimonides Medical Center Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MAIMONIDES MEDICAL CENTER INC.

Practice address

1295 S US Highway 1
Rockledge, FL 32955-2732

Phone

(321) 637-6654

Fax

(321) 433-1119

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carolina C Sarenas, M.D.

Title

Vice-President

Phone

(321) 637-6654

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• German Vergara, MD

  • Nephrology Physician
  • Rockledge, FL
  • NPI 1134104078
  NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1477514651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 S US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552732",
            "telephone_number": "321-637-6654",
            "fax_number": "321-433-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 S US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552732",
            "telephone_number": "321-637-6654",
            "fax_number": "321-433-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIMONIDES MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "SARENAS",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "321-637-6654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379714700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parwati C Maddali, M.D.
• Canaan Maffeo, APRN
• Natalie Magee
• Joseph P Magliocco, RPH
• Erika Leigh Maier, MA
• Wasfi A Makar, MD
• Denisse Maldonado Aguirre, OTA
• Ninette Mamczur, A.P.
• Karamvir Mann, MD
• Rachel Marcano Cruz

• Endocrinology, Diabetes & Metabolism Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.