NPIMap

Organization Active NPI

Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
National Provider Identifier
1497124176
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MIAMI BEACH COMMUNITY HEALTH CENTER INC
Practice address
11645 Biscayne Blvd Ste 408
Miami, FL 33181-3148
Phone
(305) 538-8835
Fax
(305) 994-0054
NPI assigned
Sep 23, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark Rabinowitz, MD
Title
Chief Executive Officer
Phone
(305) 538-8835

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 51

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

View all 51

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Federally qualified health center certification: CCN 681074

Medicare enrollment files
Legal name
MIAMI BEACH COMMUNITY HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 9, 2016
Last certification
Nov 9, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1977 in FL
Enrollment address
11645 Biscayne Blvd, Ste 408
North Miami, FL 33181-3148

All disclosed owners & managing parties 12

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Lambert Individual Corporate DirectorBoard of Directors Feb 1, 2022
S Yonne Saint Gerard Individual Corporate DirectorBoard of Directors Apr 1, 2010
David Chamberlain Individual Corporate DirectorBoard of Directors Nov 1, 2012
Melvin P Deutsch Individual Corporate DirectorBoard of Directors Apr 1, 2001
Mitchell Rubinson Individual Corporate DirectorBoard of Directors Nov 1, 2012
Beverly Penzell Individual Corporate DirectorBoard of Directors Feb 1, 2022
Alan Layng Individual Corporate DirectorCfo Apr 1, 2019
W-2 Managing EmployeeCfo Apr 1, 2019
Mabel Velez Individual Corporate DirectorBoard of Directors Feb 1, 2022
David Gersten Individual Corporate DirectorBoard of Directors Nov 1, 2012
Therese Gibb Individual Corporate DirectorBoard of Directors Nov 1, 2012
David Massey Individual Corporate DirectorBoard of Directors Jun 1, 2014
Mark L Rabinowitz Individual Corporate DirectorPresident/Ceo Aug 6, 2012
W-2 Managing EmployeePresident/Ceo Aug 6, 2012 100%

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040811001125 FL Part B Supplier - Clinic/Group Practice 8123090925 Receives reassigned benefits from 97 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Miami, FL; Miami Beach, FL; Miami, FL
O20161109000722 FL Part a Provider - Federally Qualified Health Center (FQHC) 8123090925 Practice locations: North Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Miami Beach Community Health Center Inc (9 organizations share this tax ID)

Networks

  • HealthSun Health Plans Network

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

11645 Biscayne Blvd Ste 408
Miami, FL 33181-3148

Mailing address

11645 Biscayne Blvd Ste 207
Miami, FL 33181-3138
Phone (305) 538-8835

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
029544222MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2025.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1497124176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835",
            "fax_number": "305-938-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813148",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BEACH COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "RABINOWITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-538-8835",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029544222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.