Organization Active NPI

DRS. Kovacs & Resnick, PA

  • Neurology Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1700835378
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 41688 Issued in FL
Legal business name
DRS. KOVACS & RESNICK, PA
Practice address
1111 Kane Concourse
Suite 504
Bay Harbor Islands, FL 33154-2029
Phone
(305) 865-1995
Fax
(305) 866-1844
NPI assigned
May 9, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Steven Resnick, DONPI 1972553816
Title
Physician
Phone
(305) 865-1995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041116000537 FL Part B Supplier - Clinic/Group Practice 2769446186 Receives reassigned benefits from 3 practitioners
Practice locations: Bay Harbor Island, FL; Miami Beach, FL

National Provider Directory

Locations

1111 Kane Concourse
Ste 504
Bay Harbor Islands, FL 33154
Phone (305) 865-1995

4302 Alton Rd
Ste 690
Miami Beach, FL 33140
Phone (305) 538-1877

4302 Alton Rd
Miami Beach, FL 33140
Phone (305) 535-7535

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME 41688 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1111 Kane Concourse
Suite 504
Bay Harbor Islands, FL 33154-2029

Mailing address

1111 Kane Concourse
Suite 504
Bay Harbor Islands, FL 33154-2029
Phone (305) 865-1995

Other names 1

NPPES NPI Registry
  • Old Name - Dr. Andrew G Kovacs MD PA Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2009.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1700835378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 504",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542029",
            "telephone_number": "305-865-1995",
            "fax_number": "305-866-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 504",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542029",
            "telephone_number": "305-865-1995",
            "fax_number": "305-866-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. KOVACS & RESNICK, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-865-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 41688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Name - Dr. Andrew G Kovacs MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bay Harbor Islands, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.