Active NPI
Benincasa
- Cardiovascular Disease Physician
- Hialeah, FL
National Provider Identifier
1619505302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BENINCASA
- Doing business as
- BENINCASA M DO PLLC
- Practice address
- 2001 W 68TH St Ste 202
Hialeah, FL 33016-1801 - Phone
- (305) 364-2107
- NPI assigned
- Mar 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muhammad Ijaz
- Title
- Billing Manager
- Phone
- (305) 363-2889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
2001 W 68TH St Ste 202
Hialeah, FL 33016-1801
Mailing address
3811 SW 160TH Ave Apt 303
Miramar, FL 33027-4666
Phone (954) 562-8317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100908500 | Medicaid | FL |
Other names 1
- BENINCASA M DO PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1619505302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 SW 160TH AVE APT 303",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274666",
"telephone_number": "954-562-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 68TH ST STE 202",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161801",
"telephone_number": "305-364-2107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENINCASA",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-30",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "IJAZ",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "305-363-2889"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100908500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BENINCASA M DO PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.