Organization Active NPI

Pn109 Company LLC

  • Surgery Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1578460051
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PN109 COMPANY LLC
Practice address
15901 Collins Ave Apt 1704
Sunny Isles Beach, FL 33160
Phone
(860) 832-4664
Fax
(860) 832-4665
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Joseph Aferson, MD
Title
Owner
Phone
(860) 202-6642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

15901 Collins Ave Apt 1704
Sunny Isles Beach, FL 33160

Mailing address

11 Wyngate Dr
Avon, CT 06001
Phone (860) 832-4664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1578460051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WYNGATE DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-832-4664",
            "fax_number": "860-832-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 COLLINS AVE APT 1704",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "860-832-4664",
            "fax_number": "860-832-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PN109 COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "AFERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-202-6642",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.