Chen Neighborhood Medical Centers of South Florida, LLC
Organization Active NPI Specialist · Miami Gardens, FL
NPI 1881024800 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1881024800
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC
- Practice address
- 1395 NW 167TH St
Miami Gardens, FL 33169-5710 - Phone
- (305) 628-6117
- NPI assigned
- Nov 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Daniella Houston
- Title
- Credentialing
- Phone
- (305) 628-6117
Other NPIs on the same Medicare enrollment 11
Subparts reporting this organization as parent 22
Corporate family (same tax ID) 13
Practitioners 227
-
Daniela Anca Botoman, M.D.
-
Hubert J Cantave, MD
-
Ana Cotes, APRN
-
Berenice Gerard, MD
-
Ana M Hernandez Ferret, APRN
-
Charolette Jarrett, ARNP
-
Tameka Joseph, MD
-
Lina Ramirez, MD
-
Maja Babovic, M.D.
-
Arathy Suresh Chandran, M.D.
-
Claudia Cottone, MD
-
Raudel Garcia, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140324001909 | FL | Part B Supplier - Clinic/Group Practice | 2860623436 |
Receives reassigned benefits from 219 practitioners 11 other NPIs on this enrollment Practice locations: Plantation, FL; Pembroke Pines, FL; Hialeah, FL; Opa Locka, FL; Oakland Park, FL; North Miami Beach, FL; North Miami, FL; North Lauderdale, FL… |
National Provider Directory
- Tax ID family
- Chen Neighborhood Medical Lauderhill LLC
Locations
390 S State Road 7
Hollywood, FL 33023
Phone (954) 743-5522
5100 Coconut Creek Pkwy
Margate, FL 33063
Phone (954) 281-7700
2445 NW 62nd St
Miami, FL 33147
Phone (305) 585-9200
1190 NE 125th St
North Miami, FL 33161
Phone (305) 891-7500
401 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 535-7200
10280 Pines Blvd
#P701
Pembroke Pines, FL 33026
Phone (954) 323-8446
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.