MSMC Neonatology, LLC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

MSMC NEONATOLOGY, LLC

Practice address

4300 Alton Rd
Blum Building, Third Floor
Miami, FL 33140-2948

Phone

(305) 674-2727

Fax

(305) 674-2304

NPI assigned

Jan 8, 2013

Organization subpart

Yes

Parent organization

MOUNT SINAI MEDICAL CENTER OF FLORIDA, 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. Wayne Chutkan

Title

VP Finance

Phone

(305) 674-2662

Specialties & licenses 1

Addresses

Part of

Paul a Vignola

Locations

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1508103755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331012140",
            "telephone_number": "305-674-2727",
            "fax_number": "305-674-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "BLUM BUILDING, THIRD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2727",
            "fax_number": "305-674-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSMC NEONATOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "CHUTKAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "305-674-2662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neonatal-Perinatal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Neonatal-Perinatal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.