Active NPI
Geriatric Care of Florida LLC
- Geriatric Medicine (Internal Medicine) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- GERIATRIC CARE OF FLORIDA LLC
- Practice address
- 1415 Hickory St
Melbourne, FL 32901-3225 - Phone
- (321) 723-1321
- NPI assigned
- Mar 21, 2023
- Last updated
- Nov 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peyman E Younesi, MD
- Title
- Owner
- Phone
- (718) 709-0940
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU | Primary |
Addresses
Primary practice location
1415 Hickory St
Melbourne, FL 32901-3225
Mailing address
6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940
Other practice location 1
6136 170th St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1891942645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1811699820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6136 170TH ST APT M4",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651957",
"telephone_number": "718-709-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013225",
"telephone_number": "321-723-1321"
}
],
"practiceLocations": [
{
"address_1": "6136 170th St Apt M4",
"address_purpose": "LOCATION",
"city": "Fresh Meadows",
"state": "NY",
"postal_code": "113651957",
"country_code": "US",
"telephone_number": "718-709-0940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GERIATRIC CARE OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "YOUNESI",
"authorized_official_first_name": "PEYMAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-709-0940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.