NPIMap

Individual provider Active NPI

Robenson Jean Marie, MD

  • Nephrology Physician
  • North Miami Beach, FL
National Provider Identifier
1962749531
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME124716 Issued in FL
Practice address
16695 NE 10TH Ave
North Miami Beach, FL 33162-3707
Phone
(786) 615-3430
NPI assigned
Jan 15, 2013
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME124716 FL Primary

Addresses

Primary practice location

16695 NE 10TH Ave
North Miami Beach, FL 33162-3707

Mailing address

16695 NE 10TH Ave
North Miami Beach, FL 33162-3707

Other identifiers 1

IdentifierTypeStateIssuer
016462600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204000972 FL Practitioner - Nephrology 0648401141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialist Consultation Network LLCGroup PAC ID 3375076557, 5 clinicians

Practice addresses (Care Compare)

16695 NE 10TH Ave
North Miami Beach, FL 33162-3707
Phone (786) 615-3430

737 NW 135TH Ave
Pembroke Pines, FL 33028-3157
Phone (786) 200-7553

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Miami Kidney Center, LLC Single Specialty CurrentSince Sep 27, 2017 Accepting new patients
Lumina Wellness Group LLC Single Specialty CurrentSince Mar 7, 2025 Accepting new patients
Specialist Consultation Network LLC Single Specialty CurrentSince Mar 7, 2025 Accepting new patients
Farah Medical, LLC Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
South Florida Surgery LLC Single Specialty PastSince Nov 3, 2019 Accepting new patients

Locations

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

13930 NW 7th Ave
Miami, FL 33168
Phone (786) 615-3430

16695 NE 10th Ave
North Miami Beach, FL 33162
Phone (305) 940-6474

240 174th St
Ste 108
Sunny Isles Beach, FL 33160
Phone (305) 974-5933

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1962749531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16695 NE 10TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16695 NE 10TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623707",
            "telephone_number": "786-615-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN MARIE",
        "first_name": "ROBENSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME124716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016462600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.