Organization Active NPI

Melvyn G Drucker Mdpa

  • Medical Specialty Clinic/Center
  • Aventura, FL
National Provider Identifier
1710223805
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME12262 Issued in FL
Legal business name
MELVYN G DRUCKER MDPA
Practice address
20601 E Dixie Hwy
Suite 330
Aventura, FL 33180-1540
Phone
(786) 923-3000
Fax
(786) 923-3002
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Melvyn Gary Drucker, MDNPI 1891776001
Title
President
Phone
(786) 923-3000

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
Medical Specialty Clinic/Center 261QM2500X ME12262 FL Primary

Addresses

Primary practice location

20601 E Dixie Hwy
Suite 330
Aventura, FL 33180-1540

Mailing address

19955 Porto Vita Way
Apt. 2701
Aventura, FL 33180-3427
Phone (305) 932-7738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130415000205 FL Part B Supplier - Clinic/Group Practice 0840436093 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1710223805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19955 PORTO VITA WAY",
            "address_2": "APT. 2701",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803427",
            "telephone_number": "305-932-7738",
            "fax_number": "305-932-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 E DIXIE HWY",
            "address_2": "SUITE 330",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801540",
            "telephone_number": "786-923-3000",
            "fax_number": "786-923-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVYN G DRUCKER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-923-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME12262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.