Individual provider Active NPI

Trevor J Resnick, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Miami, FL
National Provider Identifier
1780641381
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME47052 Issued in FL
Practice address
3200 SW 60TH CT Ste 302
Miami, FL 33155
Phone
(305) 662-8330
Fax
(305) 663-2813
NPI assigned
Apr 27, 2006
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME47052 FL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME47052 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 302
Miami, FL 33155

Mailing address

3200 SW 60TH CT Ste 302
Miami, FL 33155-4071
Phone (305) 662-8330

Other practice location 1

8950 SW 152nd St Ste A
Palmetto Bay, FL 33157-1901
Phone (305) 279-2226

Other identifiers 1

IdentifierTypeStateIssuer
035378700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trevor.resnick@fcn.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903001055 FL Practitioner - Neurology 2163672908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME47052FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Network Partners Neurology With Special Qualifications in Child Neurology CurrentSince Sep 10, 1999 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Dec 7, 2023 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Dec 7, 2023 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Current Accepting new patients
University of Miami Neurology Past Accepting new patients
University of Miami Neurology Past Accepting new patients

Locations

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

3200 SW 60th Ct
Ste 203
Miami, FL 33155
Phone (305) 662-8380

3200 SW 60th Ct
Ste 302
Miami, FL 33155
Phone (305) 662-8330

8950 SW 152nd St
Ste A
Palmetto Bay, FL 33157
Phone (305) 279-2226

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b43dd149-90a5-46ef-81a8-ea2a2b1b0ec9/
  • Direct secure messaging: trevor.resnick@fcn.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1780641381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554071",
            "telephone_number": "305-662-8330",
            "fax_number": "305-663-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-662-8330",
            "fax_number": "305-663-2813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8950 SW 152nd St Ste A",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571901",
            "country_code": "US",
            "telephone_number": "305-279-2226",
            "fax_number": "786-364-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "TREVOR",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME47052",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME47052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035378700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trevor.resnick@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3200 SW 60th Ct Ste 302",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.