Organization Active NPI

The Neomedicine Institute LLC

  • Multi-Specialty Clinic/Center
  • Doral, FL
National Provider Identifier
1770108110
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE NEOMEDICINE INSTITUTE LLC
Practice address
2510 NW 97TH Ave Ste 110
Doral, FL 33172-1407
Phone
(786) 264-2999
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Carla Cerra
Title
Office Manager
Phone
(786) 264-2999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2510 NW 97TH Ave Ste 110
Doral, FL 33172-1407

Mailing address

2510 NW 97TH Ave Ste 110
Doral, FL 33172-1407
Phone (786) 264-2999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221126000005 FL Part B Supplier - Clinic/Group Practice 0143698001 Receives reassigned benefits from 1 practitioner
Practice locations: Doral, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

2510 NW 97th Ave
Ste 110
Doral, FL 33172
Phone (786) 264-2999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFDGCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1770108110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 NW 97TH AVE STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721407",
            "telephone_number": "786-264-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 NW 97TH AVE STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721407",
            "telephone_number": "786-264-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEOMEDICINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "CERRA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-264-2999"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.