Organization Active NPI

Susan Lurie MD PA

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1689934069
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUSAN LURIE MD PA
Practice address
825 Arthur Godfrey Rd FL 2
Miami Beach, FL 33140-3304
Phone
(305) 763-8080
Fax
(305) 763-8064
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jacqueline Sanchez
Title
Office Manager
Phone
(305) 763-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

825 Arthur Godfrey Rd FL 2
Miami Beach, FL 33140-3304

Mailing address

825 Arthur Godfrey Rd FL 2
Miami Beach, FL 33140-3304
Phone (305) 763-8080

Other identifiers 1

IdentifierTypeStateIssuer
1104930353OtherFLNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120913000745 FL Part B Supplier - Clinic/Group Practice 9436307592 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2049426Susan Lurie, MD PA825 Arthur Godfrey Road Suite 200, Miami Beach, FL 33140Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Locations

825 Arthur Godfrey Rd
#200
Miami Beach, FL 33140
Phone (305) 456-4840

825 Arthur Godfrey Rd
#2
Miami Beach, FL 33140
Phone (305) 763-8080

Practitioners & affiliated clinicians

Practitioners 4

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1689934069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 ARTHUR GODFREY RD FL 2",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403304",
            "telephone_number": "305-763-8080",
            "fax_number": "305-763-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 ARTHUR GODFREY RD FL 2",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403304",
            "telephone_number": "305-763-8080",
            "fax_number": "305-763-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LURIE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-763-8080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104930353",
            "state": "FL"
        }
    ],
    "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 Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.