Organization Active NPI

CPC Medical Center

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1942563374
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CPC MEDICAL CENTER
Practice address
2455 SW 27TH Ave
#100
Miami, FL 33145-3663
Phone
(305) 854-6661
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Richard Chervony
Title
Vice President
Phone
(305) 854-6661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2455 SW 27TH Ave
#100
Miami, FL 33145-3663

Mailing address

2455 SW 27TH Ave
#100
Miami, FL 33145-3663
Phone (305) 854-6661

National Provider Directory

National Provider Directory

Locations

2455 SW 27th Ave
Ste 100
Miami, FL 33145
Phone (305) 854-6661

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1942563374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SW 27TH AVE",
            "address_2": "#100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453663",
            "telephone_number": "305-854-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SW 27TH AVE",
            "address_2": "#100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453663",
            "telephone_number": "305-854-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "CHERVONY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-854-6661"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.