Organization Active NPI

Stuart K Joseph MD., LLC

  • Specialist
  • Village of Palmetto Bay, FL
National Provider Identifier
1922028463
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME54779 Issued in FL
Legal business name
STUART K JOSEPH MD., LLC
Practice address
9299 SW 152ND St
Suite 104
Village of Palmetto Bay, FL 33157-1775
Phone
(305) 233-5760
Fax
(305) 238-1517
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Stuart K Joseph, MDNPI 1356339212
Title
President
Phone
(305) 233-5760

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME54779 FL Primary

Addresses

Primary practice location

9299 SW 152ND St
Suite 104
Village of Palmetto Bay, FL 33157-1775

Mailing address

9299 SW 152ND St
Suite 104
Village of Palmetto Bay, FL 33157-1775
Phone (305) 233-5760

Other identifiers 1

IdentifierTypeStateIssuer
035576300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080412000074 FL Part B Supplier - Clinic/Group Practice 4082791272 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL; Palmetto Bay, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1002532Stuart K Joseph MD LLC9299 SW 152ND St Ste 104, Miami, FL 33157Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

Locations

9275 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-5760

6200 Sunset Dr
Ste 401
South Miami, FL 33143
Phone (305) 666-4633

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1922028463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST",
            "address_2": "SUITE 104",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571775",
            "telephone_number": "305-233-5760",
            "fax_number": "305-238-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST",
            "address_2": "SUITE 104",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571775",
            "telephone_number": "305-233-5760",
            "fax_number": "305-238-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART K JOSEPH MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-233-5760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME54779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035576300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.