Organization Active NPI

Joy Family Medicine & Regenerative Care Inc.

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1952927196
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JOY FAMILY MEDICINE & REGENERATIVE CARE INC.
Doing business as
Joy Family Medicine
Practice address
1041 Ives Dairy Rd Ste 138
Miami, FL 33179-2539
Phone
(954) 256-5155
Fax
(954) 289-2270
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Joey Anthony, NPNPI 1225539471
Title
Owner
Phone
(954) 256-5155

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1041 Ives Dairy Rd Ste 138
Miami, FL 33179-2539

Mailing address

15054 SW 34TH St
Davie, FL 33331-2719
Phone (954) 256-5155

Other names 1

  • Joy Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730001961 FL Part B Supplier - Clinic/Group Practice 7810312485 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

10600 Griffin Rd
Ste A103
Davie, FL 33328
Phone (954) 256-5155

1041 Ives Dairy Rd
Ste 138
North Miami Beach, FL 33179
Phone (305) 534-1193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1952927196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15054 SW 34TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312719",
            "telephone_number": "954-256-5155",
            "fax_number": "954-289-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 IVES DAIRY RD STE 138",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792539",
            "telephone_number": "954-256-5155",
            "fax_number": "954-289-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY FAMILY MEDICINE & REGENERATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-256-5155",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.