NPIMap

Organization Active NPI

Fastcare LLC

  • Urgent Care Clinic/Center
  • Aventura, FL
National Provider Identifier
1972525012
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FASTCARE LLC
Practice address
20601 E Dixie Hwy Ste 340
Aventura, FL 33180-1542
Phone
(786) 923-4000
Fax
(786) 923-4001
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Dr. Matthew KornNPI 1568500445
Title
Managing Member
Phone
(786) 923-4000

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

20601 E Dixie Hwy Ste 340
Aventura, FL 33180-1542

Mailing address

20601 E Dixie Hwy Ste 340
Aventura, FL 33180-1542
Phone (786) 923-4000

Other identifiers 1

IdentifierTypeStateIssuer
HCC1564OtherFLHEALTH CARE CLINIC LICENS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040728001064 FL Part B Supplier - Clinic/Group Practice 9638149537 Receives reassigned benefits from 9 practitioners
Practice locations: Miami Beach, FL; Aventura, FL

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
10D1030203Fastcare LLC20601 E Dixie Hwy Ste 340, Aventura, FL 33180Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

20601 E Dixie Hwy
Ste 340
Aventura, FL 33180
Phone (305) 931-0504

Practitioners & affiliated clinicians

Practitioners 12

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1972525012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20601 E DIXIE HWY STE 340",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801542",
            "telephone_number": "786-923-4000",
            "fax_number": "786-923-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 E DIXIE HWY STE 340",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801542",
            "telephone_number": "786-923-4000",
            "fax_number": "786-923-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "786-923-4000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC LICENS",
            "identifier": "HCC1564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.