Individual provider Active NPI

Noam Yeshaya Koenigsberg

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1700197605
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 121383 Issued in FL
Practice address
960 Arthur Godfrey Rd
Suite 410
Miami Beach, FL 33140-3326
Phone
(305) 985-2161
Fax
(305) 763-8475
NPI assigned
Jun 24, 2010
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 263590 NY
Psychiatry Physician 2084P0800X ME 121383 FL Primary

Addresses

Primary practice location

960 Arthur Godfrey Rd
Suite 410
Miami Beach, FL 33140-3326

Mailing address

7460 Mandarin Dr
Boca Raton, FL 33433-7418
Phone (305) 985-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ME 121383FLMDPsychiatry Physician
263590NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1700197605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 MANDARIN DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337418",
            "telephone_number": "305-985-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 ARTHUR GODFREY RD",
            "address_2": "SUITE 410",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403326",
            "telephone_number": "305-985-2161",
            "fax_number": "305-763-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGSBERG",
        "first_name": "NOAM",
        "middle_name": "YESHAYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "263590",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 121383",
            "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 6, 2023; 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.