Active NPI
Federico Justiniani, MD
- Specialist
- Miami Beach, FL
National Provider Identifier
1720038375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME14514
- Practice address
- 4302 Alton Rd
Suite 900
Miami Beach, FL 33140-2891 - Phone
- (305) 534-4888
- Fax
- (305) 675-2788
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME14514 | FL | Primary |
Addresses
Primary practice location
4302 Alton Rd
Suite 900
Miami Beach, FL 33140-2891
Mailing address
4302 Alton Rd
Suite 900
Miami Beach, FL 33140-2891
Phone (305) 534-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13036 | Other | FL | BCBS INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME14514 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1720038375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 ALTON RD",
"address_2": "SUITE 900",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402891",
"telephone_number": "305-534-4888",
"fax_number": "305-675-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 ALTON RD",
"address_2": "SUITE 900",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402891",
"telephone_number": "305-534-4888",
"fax_number": "305-675-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTINIANI",
"first_name": "FEDERICO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME14514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "13036",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.