Organization Active NPI

West 49TH Street E.R. Physician Corp.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hialeah, FL
National Provider Identifier
1922128826
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
WEST 49TH STREET E.R. PHYSICIAN CORP.
Practice address
1475 W 49TH St
Hialeah, FL 33012-3222
Phone
(305) 558-2500
Fax
(305) 826-9002
NPI assigned
Apr 2, 2007
Last updated
Oct 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Mr. Mark Early
Title
Chief Financial Officer
Phone
(305) 824-4703

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

1475 W 49TH St
Hialeah, FL 33012-3222

Mailing address

1475 W 49TH St
Hialeah, FL 33012-3222
Phone (305) 558-2500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1922128826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123222",
            "telephone_number": "305-558-2500",
            "fax_number": "305-826-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123222",
            "telephone_number": "305-558-2500",
            "fax_number": "305-826-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 49TH STREET E.R. PHYSICIAN CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "EARLY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "305-824-4703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.