Organization Active NPI

Japh Medical Group Inc

  • Medical Specialty Clinic/Center
  • Hialeah, FL
National Provider Identifier
1710338454
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 54503 Issued in FL
Legal business name
JAPH MEDICAL GROUP INC
Practice address
7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1821
Phone
(305) 557-0000
Fax
(305) 557-0002
NPI assigned
Jun 23, 2016
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
JAPH MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Jose Antonio Prieto, MD
Title
Chief of Japh Medical Group Inc
Phone
(954) 202-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 54503 FL Primary

Addresses

Primary practice location

7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1821

Mailing address

7600 W 20TH Ave
Suite 112
Hialeah, FL 33016-1821
Phone (305) 557-0000

Other identifiers 1

IdentifierTypeStateIssuer
272088400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000493 FL Part B Supplier - Clinic/Group Practice 2961679949 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hialeah, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Japh Medical Group Inc

Locations

4331 N Federal Hwy
Ste 205
Ft Lauderdale, FL 33308
Phone (954) 202-6322

7600 W 20th Ave
Ste 112
Hialeah, FL 33016
Phone (305) 557-0000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1710338454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE",
            "address_2": "SUITE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161821",
            "telephone_number": "305-557-0000",
            "fax_number": "305-557-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W 20TH AVE",
            "address_2": "SUITE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161821",
            "telephone_number": "305-557-0000",
            "fax_number": "305-557-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAPH MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAPH MEDICAL GROUP INC",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF OF JAPH MEDICAL GROUP INC",
        "authorized_official_telephone_number": "954-202-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 54503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272088400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.