Active NPI
Noam Yeshaya Koenigsberg
- Psychiatry Physician
- Miami Beach, FL
National Provider Identifier
1700197605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 121383
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 121383 | FL | MD | Psychiatry Physician |
| 263590 | NY | MD | Psychiatry 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.