Individual provider Active NPI

Elizabeth Etkin-Kramer, M.D.

  • Specialist
  • Miami Beach, FL
National Provider Identifier
1972681393
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME61877 Issued in FL
Practice address
4308 Alton Rd
Suite 880
Miami Beach, FL 33140-4556
Phone
(305) 674-8038
Fax
(305) 674-8192
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME61877 FL Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 880
Miami Beach, FL 33140-4556

Mailing address

4308 Alton Rd
Suite 880
Miami Beach, FL 33140-4556
Phone (305) 674-8038

Other identifiers 1

IdentifierTypeStateIssuer
373394700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1972681393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 880",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-674-8038",
            "fax_number": "305-674-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 880",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-674-8038",
            "fax_number": "305-674-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETKIN-KRAMER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME61877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373394700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.