Organization Active NPI

Podamerica LLC

  • Exclusive Provider Organization
  • Aventura, FL
National Provider Identifier
1861906265
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PODAMERICA LLC
Practice address
2641 NE 209TH St
Aventura, FL 33180-1117
Phone
(305) 305-6097
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Daryl Gershbein, DPM
Title
Manager
Phone
(305) 305-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

2641 NE 209TH St
Aventura, FL 33180-1117

Mailing address

2641 NE 209TH St
Aventura, FL 33180-1117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1861906265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 NE 209TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 NE 209TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801117",
            "telephone_number": "305-305-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODAMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "GERSHBEIN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-305-6097",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.