Individual provider Active NPI

Gregory Jose Rada Longa

  • Surgical Assistant
  • Miami, FL
National Provider Identifier
1568064970
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
19-483 Issued in FL
Practice address
20200 W Dixie Hwy Ste 5G
Miami, FL 33180-1919
Phone
(305) 878-1920
NPI assigned
Nov 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 19-483 FL Primary

Addresses

Primary practice location

20200 W Dixie Hwy Ste 5G
Miami, FL 33180-1919

Mailing address

915 NW 1St Ave Apt H1801
Miami, FL 33136-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19-483FLMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Lampert MD PA Single Specialty CurrentSince Nov 15, 2020 Accepting new patients

Locations

20200 W Dixie Hwy
Ste 5G
Miami, FL 33180
Phone (305) 878-1920

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1568064970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NW 1ST AVE APT H1801",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331363579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 W DIXIE HWY STE 5G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801919",
            "telephone_number": "305-878-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA LONGA",
        "first_name": "GREGORY",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "19-483",
            "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 Nov 10, 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.