Organization Active NPI

Dr Miami Beach LLC

  • Plastic Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1730995796
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
DR MIAMI BEACH LLC
Practice address
400 W 41St St Ste 412
Miami Beach, FL 33140-3500
Phone
(786) 703-7549
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Tarik Husain, MDNPI 1578649646
Title
Owner
Phone
(786) 703-7549

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

400 W 41St St Ste 412
Miami Beach, FL 33140-3500

Mailing address

400 W 41St St Ste 412
Miami Beach, FL 33140-3500
Phone (786) 703-7549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211002056 FL Part B Supplier - Clinic/Group Practice 6103352380 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1730995796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST STE 412",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403500",
            "telephone_number": "786-703-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 41ST ST STE 412",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403500",
            "telephone_number": "786-703-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIAMI BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "TARIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-703-7549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.