Psa Pediatric Infectious Disease

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

PSA PEDIATRIC INFECTIOUS DISEASE

Practice address

3100 SW 62ND Ave
Miami, FL 33155-3009

Phone

(305) 662-8378

Fax

(305) 663-6829

NPI assigned

Mar 3, 2016

Organization subpart

Yes

Parent organization

PEDIATRIC SPECIALTY GROUP, INC.As reported in NPPES

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

Authorized official

Name

Mr. Timothy Birkenstock

Title

SVP & Cfo for MCHS

Phone

(305) 669-6422

Specialties & licenses 1

Addresses

Part of

Pediatric Specialty Group Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediatric Specialty Group, Inc

  • Pediatric Orthopaedic Surgery Physician
  • Coconut Creek, FL
  • NPI 1003306093
  NPPES parent name

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1477913465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8378",
            "fax_number": "305-663-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8378",
            "fax_number": "305-663-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSA PEDIATRIC INFECTIOUS DISEASE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC SPECIALTY GROUP, INC.",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "BIRKENSTOCK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SVP & CFO FOR MCHS",
        "authorized_official_telephone_number": "305-669-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marangela Prysiazny Obispo, DPT
• Yelyzaveta Prysyazhnyuk, MD
• Sonja Przulj, RN
• PS Essential Services LLC
• PS Pharmacy Corp
• Psa Pediatric Nephrology
• PSG Diagnostics, Inc.
• PSHS Beta Partners LTD
• Psia Behavior LLC
• Psra Simon Family Holding LLC

• Infectious Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.