NPIMap

Organization Active NPI

Beachside Pediatrics

  • Clinic/Center
  • Bay Harbor, FL
National Provider Identifier
1649415878
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BEACHSIDE PEDIATRICS
Doing business as
Beachside Pediatrics
Practice address
1145 Kane Concourse
Bay Harbor, FL 33154
Phone
(305) 865-5439
Fax
(305) 866-5366
NPI assigned
Dec 2, 2008
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Sandy Lieberman, M.D.NPI 1457360109
Title
General Partner
Phone
(305) 865-5439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1145 Kane Concourse
Bay Harbor, FL 33154

Mailing address

1145 Kane Concourse
Bay Harbor, FL 33154
Phone (305) 865-5439

Other names 1

  • Beachside Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beachside Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1649415878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 KANE CONCOURSE",
            "city": "BAY HARBOR",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-865-5439",
            "fax_number": "305-866-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 KANE CONCOURSE",
            "city": "BAY HARBOR",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-865-5439",
            "fax_number": "305-866-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "305-865-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachside Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.