Organization Active NPI

Japh Medical Group Inc

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1659477123
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0054503 Issued in FL
Legal business name
JAPH MEDICAL GROUP INC
Practice address
7600 W 20TH Ave Ste 112
Hialeah, FL 33016-1895
Phone
(305) 557-0000
Fax
(305) 557-0000
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Dr. Jose Antonio Prieto-Hernandez, M.DNPI 1972535979
Title
President
Phone
(954) 202-6322

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0054503 FL Primary

Addresses

Primary practice location

7600 W 20TH Ave Ste 112
Hialeah, FL 33016-1895

Mailing address

7600 W 20TH Ave Ste 112
Hialeah, FL 33016-1895
Phone (305) 557-0000

Other identifiers 1

IdentifierTypeStateIssuer
ME0054503OtherFLMEDICAL DOCTOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000493 FL Part B Supplier - Clinic/Group Practice 2961679949 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hialeah, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4242 N Federal Hwy
Ste H
Fort Lauderdale, FL 33308
Phone (954) 202-6322

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1659477123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "305-557-0000",
            "fax_number": "305-557-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE STE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161895",
            "telephone_number": "305-557-0000",
            "fax_number": "305-557-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAPH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PRIETO-HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-202-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR",
            "identifier": "ME0054503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 3, 2020; 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.