Active NPI
Nexus Medical Center of North Miami Beach, LLC
- Internal Medicine Physician
- North Miami Beach, FL
National Provider Identifier
1629636584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEXUS MEDICAL CENTER OF NORTH MIAMI BEACH, LLC
- Practice address
- 16751 NE 6TH Ave
North Miami Beach, FL 33162-2409 - Phone
- (305) 750-1158
- Fax
- (305) 705-4292
- NPI assigned
- Jun 4, 2019
- 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
- Mr. Robert Montes
- Title
- Chairman and Chief Executive Office
- Phone
- (305) 254-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
16751 NE 6TH Ave
North Miami Beach, FL 33162-2409
Mailing address
16751 NE 6TH Ave
North Miami Beach, FL 33162-2409
Phone (305) 750-1158
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596067200000",
"number": "1629636584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16751 NE 6TH AVE",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331622409",
"telephone_number": "305-750-1158",
"fax_number": "305-705-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16751 NE 6TH AVE",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331622409",
"telephone_number": "305-750-1158",
"fax_number": "305-705-4292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXUS MEDICAL CENTER OF NORTH MIAMI BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A",
"authorized_official_last_name": "MONTES",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHAIRMAN AND CHIEF EXECUTIVE OFFICE",
"authorized_official_telephone_number": "305-254-8900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.