Active NPI
Mariana Ernestina Kaviany
- Physician Assistant
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9108542
- Practice address
- 10520 Forest Hill Blvd
Wellington, FL 33414-3179 - Phone
- (561) 204-9355
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9108542 | FL | Primary |
Addresses
Primary practice location
10520 Forest Hill Blvd
Wellington, FL 33414-3179
Mailing address
3100 SW 62ND Ave
Miami, FL 33155-3009
Other practice location 1
3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (786) 624-3588
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients |
Locations
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950
8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
Interoperability endpoints
- mkaviany20158@jupitermedicalcenter.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1801285697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143179",
"telephone_number": "561-204-9355"
}
],
"practiceLocations": [
{
"address_1": "3100 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331553009",
"country_code": "US",
"telephone_number": "786-624-3588",
"fax_number": "305-662-8291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAVIANY",
"first_name": "MARIANA",
"middle_name": "ERNESTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.