Organization Active NPI

About Care OBGYN

  • Obstetrics & Gynecology Physician
  • Dania, FL
National Provider Identifier
1508427477
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ABOUT CARE OBGYN
Practice address
599 S Federal Hwy
Dania, FL 33004-4174
Phone
(954) 927-2752
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Lilian M Decosimo, MD
Title
Owner
Phone
(954) 417-5987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

599 S Federal Hwy
Dania, FL 33004-4174

Mailing address

646 NW 183Rd St
Miami, FL 33169-4470
Phone (954) 417-5987

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://pm.officeally.com/emr/Login.aspx Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

646 NW 183rd St
Miami Gardens, FL 33169
Phone (305) 493-1600

Practitioners & affiliated clinicians

Practitioners 1

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": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1508427477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694470",
            "telephone_number": "954-417-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 S FEDERAL HWY",
            "city": "DANIA",
            "state": "FL",
            "postal_code": "330044174",
            "telephone_number": "954-927-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT CARE OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "DECOSIMO",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-417-5987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pm.officeally.com/emr/Login.aspx",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "599 S Federal Hwy",
            "city": "Dania",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330044174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dania, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.