Jack Nimrey, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME156771 Issued in FL

Practice address

710 Alton Rd
Miami Beach, FL 33139-5504

Phone

(305) 538-8835

Fax

(305) 994-0054

NPI assigned

Sep 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Beach, FL
  • NPI 1063411874
  Medicare reassignment NPD
• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1053780734
  NPD
• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1497124176
  NPD
• Miami Beach Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Beach, FL
  • NPI 1821251612
  NPD (past)

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1821649930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395504",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11645 Biscayne Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331813138",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMREY",
        "first_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "694410",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME156771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115950200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tehila Nieman, MS
• Delia E Nieves-Arvelo, MD
• Yelena Nikolnikov
• Indira Nillo, APRN
• Sigrid Nilssen, DC
• John Niven, M.D.
• Holly J Nobil
• Joanna Dawn Noel-Fidler, OTR/L
• Ramona Noguera Washington, ARNP
• Nomad Medispa LLC

• Pediatrics Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.

Verify at the official NPI Registry.