Organization Active NPI

Joseph Surgery LLC

  • Specialist
  • Miami Shores, FL
National Provider Identifier
1649540725
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME111651 Issued in FL
Legal business name
JOSEPH SURGERY LLC
Practice address
9415 NE 6TH Ave
Miami Shores, FL 33138-2737
Phone
(786) 401-6455
Fax
(786) 401-6394
NPI assigned
Jan 6, 2012
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Romane Joseph, M.D.NPI 1801197447
Title
Owner
Phone
(786) 401-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME111651 FL Primary

Addresses

Primary practice location

9415 NE 6TH Ave
Miami Shores, FL 33138-2737

Mailing address

9415 NE 6TH Ave
Miami Shores, FL 33138-2737
Phone (786) 401-6455

Other identifiers 1

IdentifierTypeStateIssuer
APPLYING FORMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000472 FL Part B Supplier - Clinic/Group Practice 5890957484 Receives reassigned benefits from 3 practitioners
Practice locations: Miami Shores, FL; Lauderdale Lakes, FL

National Provider Directory

National Provider Directory

Locations

9415 NE 6th Ave
Miami Shores, FL 33138
Phone (305) 756-7899

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1649540725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "786-401-6455",
            "fax_number": "786-401-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "786-401-6455",
            "fax_number": "786-401-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ROMANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-401-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME111651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING FOR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.