Active NPI
Carly Oliveri, PA-C
- Physician Assistant
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9112268
- Practice address
- 542 W 41St St
Miami Beach, FL 33140-3510 - Phone
- (305) 397-8417
- NPI assigned
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0228831 | NY | |
| Physician Assistant | 363A00000X | 9112268 | FL | Primary |
Addresses
Primary practice location
542 W 41St St
Miami Beach, FL 33140-3510
Mailing address
542 W 41St St
Miami Beach, FL 33140-3510
Phone (305) 397-8417
Other practice location 1
9333 SW 152nd St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112268 | FL | MD | Physician Assistant |
| 0228831 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Inmotion Health, P.a. | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients |
Locations
4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291
915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225
1 Gustave L Levy Pl
Fl 12
New York, NY 10029
Phone (212) 241-1518
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
Interoperability endpoints
- carly.oliveri.1@33347.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Davie, FL
- NPI 1942812763
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1992509178
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1730657131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 W 41ST ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403510",
"telephone_number": "305-397-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 W 41ST ST",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331403510",
"telephone_number": "305-397-8417"
}
],
"practiceLocations": [
{
"address_1": "9333 SW 152nd St",
"address_purpose": "LOCATION",
"city": "Palmetto Bay",
"state": "FL",
"postal_code": "331571778",
"country_code": "US",
"telephone_number": "305-251-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVERI",
"first_name": "CARLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0228831",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112268",
"primary": true
}
],
"identifiers": [],
"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 Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.