Active NPI
Magdalena H Averhoff, MD
- Internal Medicine Physician
- Palmetto Bay, FL
National Provider Identifier
1801857461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0033998
- Practice address
- 9333 SW 152ND St
Palmetto Bay, FL 33157-1778 - Phone
- (305) 532-6939
- Fax
- (305) 532-6328
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0033998 | FL | |
| Internal Medicine Physician | 207R00000X | ME0033998 | FL | Primary |
Addresses
Primary practice location
9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Mailing address
120 San Souci Dr
Coral Gables, FL 33133-6714
Phone (305) 532-6939
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0033998 | FL | MD | Gastroenterology Physician |
| 33998 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1801857461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SAN SOUCI DR",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331336714",
"telephone_number": "305-532-6939",
"fax_number": "305-532-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 SW 152ND ST",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571778",
"telephone_number": "305-532-6939",
"fax_number": "305-532-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERHOFF",
"first_name": "MAGDALENA",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0033998",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0033998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.