Active NPI
Mamipediatrics LLC
- Specialist
- North Miami Beach, FL
National Provider Identifier
1508226879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 126460
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryInteroperability endpoints
- 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.