Organization Active NPI

Childrens Urology Associates PA

  • Urology Physician
  • Miami, FL
National Provider Identifier
1770516908
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CHILDRENS UROLOGY ASSOCIATES PA
Practice address
3200 SW 60TH CT
Suite 104
Miami, FL 33155-4000
Phone
(305) 669-6448
Fax
(305) 663-8485
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Edda M Moy
Title
Office Manager
Phone
(305) 669-6448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X FL Primary

Addresses

Primary practice location

3200 SW 60TH CT
Suite 104
Miami, FL 33155-4000

Mailing address

3200 SW 60TH CT
Suite 104
Miami, FL 33155-4000
Phone (305) 669-6448

Other identifiers 2

IdentifierTypeStateIssuer
38599OtherFLBLUE CROSS BLUE SHIELD
255861100MedicaidFL

National Provider Directory

National Provider Directory

Locations

3200 SW 60th Ct
Ste 104
Miami, FL 33155
Phone (786) 845-6634

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1770516908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554000",
            "telephone_number": "305-669-6448",
            "fax_number": "305-663-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554000",
            "telephone_number": "305-669-6448",
            "fax_number": "305-663-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS UROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "EDDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-669-6448"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38599",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255861100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.