Banyan2

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BANYAN2

Practice address

6175 NW 153Rd St
Suite 332
Miami Lakes, FL 33014-2435

Phone

(305) 663-5696

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Justin Newman

Title

Medical Director

Phone

(305) 663-5696

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1629316070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 S DIXIE HWY",
            "address_2": "SUITE 229",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 NW 153RD ST",
            "address_2": "SUITE 332",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142435",
            "telephone_number": "305-663-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN2",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-663-5696",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Baldomero
• Yenlis Baldomi
• Diego Balmaseda, C.S.A.
• Carolina Bancora, SLP
• Banner Medical Center Corp
• Baptist Health Medical Plaza Miami Lakes
• Baptist Outpatient Services Inc
• Nuris Baracaldo Barrera
• Melanie Barata, RBT
• Barbara Hurtado

• Primary Care Clinic/Center in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.