Organization Active NPI

Aventura Endocrine Associates PA

  • Specialist
  • Aventura, FL
National Provider Identifier
1720001191
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME58021 Issued in FL
Legal business name
AVENTURA ENDOCRINE ASSOCIATES PA
Practice address
2801 NE 213TH St Ste 1015
Aventura, FL 33180-1266
Phone
(305) 937-3000
Fax
(888) 268-0675
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Leonard Thaler, MDNPI 1538187166
Title
VP
Phone
(305) 937-3000

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME58021 FL Primary

Addresses

Primary practice location

2801 NE 213TH St Ste 1015
Aventura, FL 33180-1266

Mailing address

2801 NE 213TH St Ste 1015
Aventura, FL 33180-1266
Phone (305) 937-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000480 FL Part B Supplier - Clinic/Group Practice 5799726238 Receives reassigned benefits from 2 practitioners
Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

20450 W Dixie Hwy
Miami, FL 33180
Phone (305) 937-3000

Practitioners 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1065883Aventura Endocrine Associates2801 NE 213TH St Suite 1015, Aventura, FL 33180Certificate of waiverJan 26, 2028

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1720001191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1015",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801266",
            "telephone_number": "305-937-3000",
            "fax_number": "888-268-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 1015",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801266",
            "telephone_number": "305-937-3000",
            "fax_number": "888-268-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA ENDOCRINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "THALER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-937-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME58021",
            "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 Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.