Organization Active NPI

Primary Care Physicians Group

  • Adult Health Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1720424021
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9257323 Issued in FL
Legal business name
PRIMARY CARE PHYSICIANS GROUP
Practice address
4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4556
Phone
(305) 604-2888
Fax
(305) 604-2887
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Dr. Gary J Merlino, D.O.
Title
President
Phone
(305) 604-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 9257323 FL Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4556

Mailing address

4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4556
Phone (305) 604-2888

Other identifiers 1

IdentifierTypeStateIssuer
262609800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1720424021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 860",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-604-2888",
            "fax_number": "305-604-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 860",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-604-2888",
            "fax_number": "305-604-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "MERLINO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-604-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9257323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262609800",
            "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 May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.