Organization Active NPI

Aldad Medical PC

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1851050215
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALDAD MEDICAL PC
Practice address
801 Brickell Ave FL 8
Miami, FL 33131-2951
Phone
(516) 505-7200
NPI assigned
Dec 14, 2021
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Tamir AldadNPI 1407207830
Title
Ceo
Phone
(516) 505-7200

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Clinical Social Worker 1041C0700X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

801 Brickell Ave FL 8
Miami, FL 33131-2951

Mailing address

510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200

Other identifiers 1

IdentifierTypeStateIssuer
ME153699OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229000659 FL Part B Supplier - Clinic/Group Practice 5395152201 Receives reassigned benefits from 12 practitioners
Practice locations: Miami, FL; Orlando, FL; Tampa, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1600 E 8th Ave
Ste A200
Tampa, FL 33605

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1851050215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 203",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152",
            "telephone_number": "516-505-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRICKELL AVE FL 8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312951",
            "telephone_number": "516-505-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDAD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "ALDAD",
        "authorized_official_first_name": "TAMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-505-7200"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME153699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.