Organization Active NPI

Julia Nemiroff, MD PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1710446687
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
JULIA NEMIROFF, MD PLLC
Doing business as
Retina and Eye Clinic
Practice address
2560 Rca Blvd Ste 112
Palm Beach Gardens, FL 33410-3337
Phone
(561) 331-1797
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Dr. Julia Nemiroff, MDNPI 1497018006
Title
Managing Member
Phone
(516) 724-0662

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

2560 Rca Blvd Ste 112
Palm Beach Gardens, FL 33410-3337

Mailing address

2560 Rca Blvd Ste 112
Palm Beach Gardens, FL 33410-3337
Phone (561) 331-1797

Other names 1

  • Retina and Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002911 FL Part B Supplier - Clinic/Group Practice 0042546616 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

2560 Rca Blvd
Ste 112
Palm Beach Gardens, FL 33410
Phone (561) 331-1797

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1710446687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 112",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103337",
            "telephone_number": "561-331-1797",
            "fax_number": "561-331-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 112",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103337",
            "telephone_number": "561-331-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA NEMIROFF, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-10-21",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "NEMIROFF",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-724-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina and Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.