Organization Active NPI

Golden Doctors Office LLC

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1508308735
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOLDEN DOCTORS OFFICE LLC
Practice address
16125 NE 18TH Ave
North Miami Beach, FL 33162-4749
Phone
(561) 767-5690
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Evine Jean Baptiste Buissereth
Title
Owner
Phone
(305) 627-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16125 NE 18TH Ave
North Miami Beach, FL 33162-4749

Mailing address

16125 NE 18TH Ave
North Miami Beach, FL 33162-4749
Phone (561) 767-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180503002629 FL Part B Supplier - Clinic/Group Practice 6800150574 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2123376Golden Doctors Office LLC16125 NE 18TH Ave, North Miami Beach, FL 33162Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

115 NW 167th St
Fl 2
North Miami Beach, FL 33169
Phone (305) 627-3208

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1508308735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 NE 18TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624749",
            "telephone_number": "561-767-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 NE 18TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624749",
            "telephone_number": "561-767-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DOCTORS OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "JEAN BAPTISTE BUISSERETH",
        "authorized_official_first_name": "EVINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-627-3208"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.