NPIMap

Organization Active NPI

Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • North Lauderdale, FL
National Provider Identifier
1932586922
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME88821 Issued in FL
Legal business name
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC
Practice address
6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone
(305) 628-6117
NPI assigned
Apr 29, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Christopher James Chen
Title
Owner
Phone
(305) 628-6117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME88821 FL Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811

Mailing address

1395 NW 167TH St
Miami, FL 33169-5742

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
10D2097115Chen Neighborhood Medical Centers of South Florida6037 Kimberly Blvd, North Lauderdale, FL 33068Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chen Neighborhood Medical Aventura LLC14 organizations share this tax ID, including this one
Part of
Chen Neighborhood Medical Aventura LLC

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1932586922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "305-628-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88821",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.