Individual provider Active NPI

Maria Belina B Asis, M.D.

  • Pediatrics Physician
  • Lake Placid, FL
National Provider Identifier
1497988570
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME105371 Issued in FL
Practice address
344 E Royal Palm St
Suite # 3
Lake Placid, FL 33852-5020
Phone
(863) 699-1414
Fax
(863) 471-9340
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME105371 FL Primary

Addresses

Primary practice location

344 E Royal Palm St
Suite # 3
Lake Placid, FL 33852-5020

Mailing address

344 E Royal Palm St
Suite # 3
Lake Placid, FL 33852-5020
Phone (863) 699-1414

Other identifiers 1

IdentifierTypeStateIssuer
ME105371OtherFLFLORIDA MEDICAL DOCTOR LICENCE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME105371FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avon Park Pediatrics, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497988570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E ROYAL PALM ST",
            "address_2": "SUITE # 3",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525020",
            "telephone_number": "863-699-1414",
            "fax_number": "863-471-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E ROYAL PALM ST",
            "address_2": "SUITE # 3",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525020",
            "telephone_number": "863-699-1414",
            "fax_number": "863-471-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIS",
        "first_name": "MARIA BELINA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL DOCTOR LICENCE",
            "identifier": "ME105371",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.