Active NPI
Jerome S Reich, M.D.
- Internal Medicine Physician
- North Miami Beach, FL
National Provider Identifier
1497704712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME9336
- Practice address
- 1380 NE Miami Gardens Drive
#225
North Miami Beach, FL 33179 - Phone
- (305) 652-9652
- Fax
- (305) 652-7494
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME9336 | FL | Primary |
Addresses
Primary practice location
1380 NE Miami Gardens Drive
#225
North Miami Beach, FL 33179
Mailing address
21550 Biscayne Blvd Suite 133
Aventura, FL 33180
Phone (305) 792-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370936100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Sports Medicine Broward | Past | Accepting new patients | |
| Elite Imaging, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1518239938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1497704712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21550 BISCAYNE BLVD SUITE 133",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-792-0555",
"fax_number": "305-792-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 NE MIAMI GARDENS DRIVE",
"address_2": "#225",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33179",
"telephone_number": "305-652-9652",
"fax_number": "305-652-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "JEROME",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME9336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370936100",
"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 Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.