Individual provider Active NPI

Miriam Gombosh, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1780914176
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9265462 Issued in FL
Practice address
1475 NW 12TH Ave
Suite 3300 D8-4
Miami, FL 33136-1002
Phone
(305) 243-5267
Fax
(305) 243-7991
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9265462 FL Primary

Addresses

Primary practice location

1475 NW 12TH Ave
Suite 3300 D8-4
Miami, FL 33136-1002

Mailing address

1246 Castile Ave
Coral Gables, FL 33134-4744
Phone (305) 243-5267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9265462FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mgombosh7272@direct.med.miami.edu

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1780914176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 CASTILE AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344744",
            "telephone_number": "305-243-5267",
            "fax_number": "305-243-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "address_2": "SUITE 3300 D8-4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5267",
            "fax_number": "305-243-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBOSH",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9265462",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 31, 2013; 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.