Organization Active NPI

Celestino Neninger MD PA

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1780041905
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME82167 Issued in FL
Legal business name
CELESTINO NENINGER MD PA
Practice address
601 NE 36TH St
Apt 1307
Miami, FL 33137-3914
Phone
(813) 391-1089
Fax
(305) 702-9442
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Celestino Neninger, MDNPI 1306887179
Title
Physician
Phone
(813) 391-1089

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME82167 FL
Interventional Pain Medicine Physician 208VP0014X ME82167 FL Primary

Addresses

Primary practice location

601 NE 36TH St
Apt 1307
Miami, FL 33137-3914

Mailing address

1800 W 68TH St
Suite 115
Hialeah, FL 33014-4404
Phone (305) 698-9077

Other identifiers 1

IdentifierTypeStateIssuer
262117700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160415000144 FL Part B Supplier - Clinic/Group Practice 9234437831 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1780041905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 68TH ST",
            "address_2": "SUITE 115",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144404",
            "telephone_number": "305-698-9077",
            "fax_number": "305-702-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NE 36TH ST",
            "address_2": "APT 1307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373914",
            "telephone_number": "813-391-1089",
            "fax_number": "305-702-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTINO NENINGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "NENINGER",
        "authorized_official_first_name": "CELESTINO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-391-1089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME82167",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME82167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262117700",
            "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 Jan 19, 2016; 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.