NPIMap

Organization Active NPI

Executive Medical Physics Associates, LLC

  • Radiological Physics Physician
  • North Miami Beach, FL
National Provider Identifier
1821884883
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
Legal business name
EXECUTIVE MEDICAL PHYSICS ASSOCIATES, LLC
Practice address
19470 NE 22ND Rd
North Miami Beach, FL 33179-3666
Phone
(305) 775-0333
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dr. Xiaodong Wu, PHDNPI 1417964800
Title
President
Phone
(305) 775-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0205X Primary

Addresses

Primary practice location

19470 NE 22ND Rd
North Miami Beach, FL 33179-3666

Mailing address

19470 NE 22ND Rd
North Miami Beach, FL 33179-3666
Phone (305) 775-0333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1821884883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19470 NE 22ND RD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793666",
            "telephone_number": "305-775-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19470 NE 22ND RD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331793666",
            "telephone_number": "305-775-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL PHYSICS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "XIAODONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-775-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.