Active NPI
Primary Care Physicians Group
- Adult Health Nurse Practitioner
- Miami Beach, FL
National Provider Identifier
1720424021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9257323
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262609800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Primary Care Physicians
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Miami Beach, FL
- NPI 1326103532
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.