Organization Active NPI

Airport Medical Clinic

  • Non-Pharmacy Dispensing Site
  • Miami, FL
National Provider Identifier
1528106473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
BP5261639 Issued in FL
Legal business name
AIRPORT MEDICAL CLINIC
Practice address
3588 NW 72ND Ave
Miami, FL 33122-1324
Phone
(305) 592-5205
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Irwin Potash
Title
Physician
Phone
(305) 592-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X BP5261639 FL Primary

Addresses

Primary practice location

3588 NW 72ND Ave
Miami, FL 33122-1324

Mailing address

3607 Old Conejo Rd
Thousand Oaks, CA 91320-2123
Phone (805) 375-0800

National Provider Directory

National Provider Directory

Locations

3588 NW 72nd Ave
Miami, FL 33122
Phone (305) 592-5205

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528106473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OLD CONEJO RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202123",
            "telephone_number": "805-375-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3588 NW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221324",
            "telephone_number": "305-592-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTASH",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-592-5205",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "BP5261639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.