NPIMap

Organization Active NPI

Jackson Memorial Hospital

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1497033500
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JACKSON MEMORIAL HOSPITAL
Practice address
1450 NW 10TH Ave
Suite 2054a
Miami, FL 33136-1011
Phone
(917) 536-1624
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Evis Harja, MD
Title
Fwllow
Phone
(917) 536-1634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Chronic Disease Hospital 281P00000X

Addresses

Primary practice location

1450 NW 10TH Ave
Suite 2054a
Miami, FL 33136-1011

Mailing address

1450 NW 10TH Ave
Suite 2054a
Miami, FL 33136-1011
Phone (917) 536-1624

National Provider Directory

National Provider Directory

Locations

1450 NW 10th Ave
Ste 2054A
Miami, FL 33136
Phone (917) 536-1624

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1497033500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NW 10TH AVE",
            "address_2": "SUITE 2054A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361011",
            "telephone_number": "917-536-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NW 10TH AVE",
            "address_2": "SUITE 2054A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361011",
            "telephone_number": "917-536-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "HARJA",
        "authorized_official_first_name": "EVIS",
        "authorized_official_title_or_position": "FWLLOW",
        "authorized_official_telephone_number": "917-536-1634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.