Active NPI
Variety Children'S Hospital
- Allergy Physician
- Miami, FL
National Provider Identifier
1982736187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Practice address
- 3100 SW 62ND Ave
Allergy & Immunology
Miami, FL 33155-3009 - Phone
- (305) 662-8334
- Fax
- (305) 663-6868
- NPI assigned
- Mar 12, 2007
- Organization subpart
- Yes
- Parent organization
- VARIETY CHILDREN'S HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy Birkenstock
- Title
- SVP & Cfo
- Phone
- (305) 669-6422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
3100 SW 62ND Ave
Allergy & Immunology
Miami, FL 33155-3009
Mailing address
PO Box 863941
Orlando, FL 32886-3941
Phone (305) 662-8334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371604001 | Medicaid | FL | |
| 255772003 | Medicaid | FL |
Other names 1
- MCH Specialist
National Provider Directory
National Provider Directory- Part of
- Variety Childrens Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414540800000",
"number": "1982736187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863941",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863941",
"telephone_number": "305-662-8334",
"fax_number": "305-663-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"address_2": "ALLERGY & IMMUNOLOGY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-662-8334",
"fax_number": "305-663-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VARIETY CHILDREN'S HOSPITAL",
"enumeration_date": "2007-03-12",
"last_updated": "2014-10-29",
"status": "A",
"authorized_official_last_name": "BIRKENSTOCK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "SVP & CFO",
"authorized_official_telephone_number": "305-669-6422",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371604001",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255772003",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCH Specialist",
"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 Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.