Individual provider Active NPI

Javier Garcia Asencio, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1962951517
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN8300583 Issued in FL
Practice address
855 E 10TH Ave
Hialeah, FL 33010-4645
Phone
(305) 392-1166
Fax
(888) 562-3449
NPI assigned
Sep 23, 2016
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN8300583 FL Primary

Addresses

Primary practice location

855 E 10TH Ave
Hialeah, FL 33010-4645

Mailing address

5021 E 2ND Ave
Hialeah, FL 33013-1411
Phone (305) 987-4675

Other identifiers 1

IdentifierTypeStateIssuer
100498800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508002861 FL Practitioner - Nurse Practitioner 1557625092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

855 E 10TH Ave
Hialeah, FL 33010-4645
Phone (305) 987-4675

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN8300583FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Javier Garcia, DNP Medical Office, Inc Family CurrentSince Jul 1, 2018 Accepting new patients
Doctor United Group Inc Past Accepting new patients
FL Association of Autonomous NPS Medical Office Owners Inc PastSince Feb 4, 2024 Accepting new patients
Doctor United Group Inc Past Accepting new patients

Locations

483 E 49th St
Hialeah, FL 33013
Phone (305) 403-7312

855 E 10th Ave
Hialeah, FL 33010
Phone (305) 392-1166

Interoperability endpoints

  • Direct secure messaging: javiergarcia@javiergarciaasenciodnp.kareodirect.com

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1962951517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 E 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131411",
            "telephone_number": "305-987-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "305-392-1166",
            "fax_number": "888-562-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ASENCIO",
        "first_name": "JAVIER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN8300583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100498800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.