Organization Active NPI

Mamipediatrics LLC

  • Specialist
  • North Miami Beach, FL
National Provider Identifier
1508226879
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 126460 Issued in FL
Legal business name
MAMIPEDIATRICS LLC
Practice address
2020 NE 163Rd St Ste 105
North Miami Beach, FL 33162-4927
Phone
(305) 790-9058
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Sultana Alkon, MD
Title
Owner
Phone
(602) 363-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME 126460 FL Primary

Addresses

Primary practice location

2020 NE 163Rd St Ste 105
North Miami Beach, FL 33162-4927

Mailing address

21659 Marigot Dr
Boca Raton, FL 33428-4825
Phone (602) 363-6312

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19811/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1508226879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21659 MARIGOT DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284825",
            "telephone_number": "602-363-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST STE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "305-790-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMIPEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "ALKON",
        "authorized_official_first_name": "SULTANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-363-6312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 126460",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 1, 2016; 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.