Active NPI
Variety Children's Hospital
Doing business as Nicklaus Children's Hospital - Aventura Care Center
- General Acute Care Hospital
- Aventura, FL
National Provider Identifier
1518360700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Doing business as
- Nicklaus Children's Hospital - Aventura Care Center
- Practice address
- 20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109 - Phone
- (786) 624-2800
- NPI assigned
- Oct 1, 2014
- Last updated
- Feb 22, 2022
- Organization subpart
- Yes
- Parent organization
- VAREITY CHILDREN HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Georgette Alfau
- Title
- Payer Contract/Credentialing Analys
- Phone
- (786) 624-5795
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | NU | ||
| Rehabilitation Clinic/Center | 261QR0400X | NU | ||
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| General Acute Care Hospital | 282N00000X | NU | Primary | |
| Children's Hospital | 282NC2000X | NU | ||
| Neurological Surgery Physician | 207T00000X | NU | ||
| Pediatric Allergy/Immunology Physician | 2080P0201X | NU | ||
| Pediatric Cardiology Physician | 2080P0202X | NU | ||
| Pediatric Endocrinology Physician | 2080P0205X | NU | ||
| Pediatric Gastroenterology Physician | 2080P0206X | NU | ||
| Pediatric Nephrology Physician | 2080P0210X | NU | ||
| Pediatric Rheumatology Physician | 2080P0216X | NU | ||
| Plastic Surgery Physician | 208200000X | NU | ||
| Pediatric Radiology Physician | 2085P0229X | NU | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | NU |
Addresses
Primary practice location
20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109
Mailing address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060921 | Medicaid | FL |
Other names 1
- Nicklaus Children's Hospital - Aventura Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Miami Children's Hospital
- Part of
- Miami Children's Hospital
Other organizations with this tax ID 31
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1104895424
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1235173402
-
- Early Intervention Provider Agency
- Miami, FL
- NPI 1215222385
-
- Case Management Agency
- Palmetto Bay, FL
- NPI 1104072602
-
- Special Hospital
- Miami, FL
- NPI 1245591882
-
- Children's Rehabilitation Hospital
- Doral, FL
- NPI 1396995676
-
- Early Intervention Provider Agency
- Palmetto Bay, FL
- NPI 1477709970
-
- Children's Hospital
- Miami, FL
- NPI 1700165529
-
- Children's Hospital
- Village of Palmetto Bay, FL
- NPI 1710073515
-
- Developmental Disabilities Clinic/Center
- Village of Palmetto Bay, FL
- NPI 1609970185
-
dba Miami Childrens Hospital Phcy
- Institutional Pharmacy
- Miami, FL
- NPI 1679509459
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Loxahatchee, FL
- NPI 1184931602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1518360700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-666-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20295 NE 29TH PL",
"address_2": "SUITE 300",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331804109",
"telephone_number": "786-624-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VAREITY CHILDREN HOSPITAL",
"enumeration_date": "2014-10-01",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "ALFAU",
"authorized_official_first_name": "GEORGETTE",
"authorized_official_title_or_position": "PAYER CONTRACT/CREDENTIALING ANALYS",
"authorized_official_telephone_number": "786-624-5795"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010060921",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nicklaus Children's Hospital - Aventura Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nicklaus Children's Hospital - Aventura Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.