NPIMap

Organization Active NPI

QMG, LLC

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1790079309
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QMG, LLC
Practice address
210 S Federal Highway
Suite 401
Hollywood, FL 33020-6811
Phone
(954) 598-9900
Fax
(954) 929-2001
NPI assigned
Jun 1, 2011
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Mark Grnja
Title
Ceo
Phone
(954) 612-7502

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Body Imaging Physician 2085B0100X NU
Diagnostic Radiology Physician 2085R0202X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

210 S Federal Highway
Suite 401
Hollywood, FL 33020-6811

Mailing address

210 S Federal Highway
Suite 401
Hollywood, FL 33020-6811
Phone (954) 598-9900

Other identifiers 1

IdentifierTypeStateIssuer
272884202MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120710000101 FL Part B Supplier - Clinic/Group Practice 2961590435 Receives reassigned benefits from 55 practitioners
Practice locations: South Miami, FL; Pembroke Pines, FL; Hollywood, FL; Orange Park, FL; Miami Beach, FL; Jacksonville, FL; Coconut Creek, FL; Aventura, FL

National Provider Directory

National Provider Directory
Tax ID family
Radiology Consultants P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Fl 2
Hollywood, FL 33020
Phone (954) 927-1776

210 S Federal Hwy
Ste 401
Hollywood, FL 33020
Phone (954) 598-9900

20803 Biscayne Blvd
Ste 103
Miami, FL 33180
Phone (786) 665-8008

4770 Biscayne Blvd
Ste 540
Miami, FL 33137
Phone (305) 858-8730

310 W 41st St
Miami Beach, FL 33140
Phone (305) 532-7460

1380 NE Miami Gardens Dr
Ste 220
North Miami Beach, FL 33179
Phone (305) 692-9009

17200 NE 19th Ave
North Miami Beach, FL 33162
Phone (305) 937-1999

1806 N Flamingo Rd
Ste 440
Pembroke Pines, FL 33028
Phone (954) 620-0025

6262 Sunset Dr
South Miami, FL 33143
Phone (305) 661-5757

4399 N Nob Hill Rd
#H
Sunrise, FL 33351
Phone (954) 315-7978

7421 N University Dr
Ste 212
Tamarac, FL 33321
Phone (954) 721-9494

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1790079309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S FEDERAL HIGHWAY",
            "address_2": "SUITE 401",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206811",
            "telephone_number": "954-598-9900",
            "fax_number": "954-929-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S FEDERAL HIGHWAY",
            "address_2": "SUITE 401",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206811",
            "telephone_number": "954-598-9900",
            "fax_number": "954-929-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QMG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "GRNJA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-612-7502"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272884202",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.