Organization Active NPI

Lili Estrin MD, PA

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1659697522
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0062960 Issued in FL
Legal business name
LILI ESTRIN MD, PA
Practice address
400 W 41St St Ste 400
Miami Beach, FL 33140-3500
Phone
(305) 532-4051
Fax
(305) 538-0655
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Lili Estrin, M.D.NPI 1497764419
Title
President
Phone
(305) 532-4051

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: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0062960 FL Primary

Addresses

Primary practice location

400 W 41St St Ste 400
Miami Beach, FL 33140-3500

Mailing address

400 W 41St St Ste 400
Miami Beach, FL 33140-3500
Phone (305) 532-4051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100719000664 FL Part B Supplier - Clinic/Group Practice 6002948577 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

400 W 41st St
Ste 400
Miami Beach, FL 33140
Phone (305) 532-4051

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": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1659697522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST STE 400",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403500",
            "telephone_number": "305-532-4051",
            "fax_number": "305-538-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST STE 400",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403500",
            "telephone_number": "305-532-4051",
            "fax_number": "305-538-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILI ESTRIN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "ESTRIN",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-532-4051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0062960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.