Active NPI
Emy Jean-Marie, M.D.
- Pediatrics Physician
- North Miami, FL
National Provider Identifier
1912351024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME139447
- Practice address
- 708 NE 125TH St
North Miami, FL 33161-5612 - Phone
- (305) 576-6611
- NPI assigned
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME139447 | FL | Primary |
Addresses
Primary practice location
708 NE 125TH St
North Miami, FL 33161-5612
Mailing address
3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611
Other practice location 1
3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103944100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201021002408 | FL | Practitioner - Pediatric Medicine | 9436579976 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME139447 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borinquen Health Care Center, Inc. | Current | Accepting new patients | |
| Borinquen Health Care Center, Inc. | Current | Accepting new patients | |
| Borinquen Health Care Center, Inc. | Current | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
| Pediatrix Medical Group of Florida Inc | Past | Accepting new patients |
Locations
3601 Federal Hwy
Miami, FL 33137
708 NE 125th St
North Miami, FL 33161
Phone (786) 433-8815
Interoperability endpoints
- emy.jean-marie.1@8506.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1407913338
FL
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1245643709
-
- Federally Qualified Health Center (FQHC)
- North Miami, FL
- NPI 1295032803
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
Pediatrics
-
- Pediatrics Physician
- Coral Springs, FL
- NPI 1316155096
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1912351024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 FEDERAL HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373795",
"telephone_number": "305-576-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 NE 125TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615612",
"telephone_number": "305-576-6611"
}
],
"practiceLocations": [
{
"address_1": "3601 Federal Hwy",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331373795",
"country_code": "US",
"telephone_number": "305-576-6611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN-MARIE",
"first_name": "EMY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME139447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103944100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.