NPIMap

Organization Active NPI

Retina Macula Specialists of Miami LLC

  • Ophthalmology Physician
  • North Miami Beach, FL
National Provider Identifier
1982946612
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA MACULA SPECIALISTS OF MIAMI LLC
Practice address
184 NE 168TH St
North Miami Beach, FL 33162-3412
Phone
(305) 655-0411
Fax
(305) 653-6300
NPI assigned
Mar 20, 2013
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Dr. J. Harris Levy, M.D.
Title
Managing Partner
Phone
(305) 655-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

184 NE 168TH St
North Miami Beach, FL 33162-3412

Mailing address

184 NE 168TH St
North Miami Beach, FL 33162-3412
Phone (305) 655-0411

Other identifiers 3

IdentifierTypeStateIssuer
262475300MedicaidFL
063692402MedicaidFL
269577400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130620000268 FL Part B Supplier - Clinic/Group Practice 7012156144 Receives reassigned benefits from 29 practitioners
Practice locations: Miami, FL; Weston, FL; Plantation, FL; Pembroke Pines, FL; North Miami Beach, FL; N Miami Beach, FL; Homestead, FL; Ft Lauderdale, FL…

National Provider Directory

National Provider Directory
Tax ID family
Retina Macula Specialists of Miami LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

2466 E Commercial Blvd
Ste 315
Ft Lauderdale, FL 33308

120 NE 167th St
North Miami Beach, FL 33162
Phone (305) 940-5100

601 N Flamingo Rd
Ste 215
Pembroke Pines, FL 33028

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: darreaza@rmsm.intellechartdirect.net
  • Direct secure messaging: rtaher@rmsm.intellechartdirect.net
  • Direct secure messaging: wlara@rmsm.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 18

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 18

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1982946612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623412",
            "telephone_number": "305-655-0411",
            "fax_number": "305-653-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623412",
            "telephone_number": "305-655-0411",
            "fax_number": "305-653-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA MACULA SPECIALISTS OF MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-655-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262475300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063692402",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269577400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.