NPIMap

Organization Active NPI

Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami, FL
National Provider Identifier
1992133011
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME88821 Issued in FL
Legal business name
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC
Practice address
1000 Park Centre Blvd
#100
Miami, FL 33169-5373
Phone
(305) 621-0023
NPI assigned
Oct 29, 2013
Last updated
Feb 4, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PMR US HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Mrs. Mary Chen
Title
Chief Operation Officer
Phone
(305) 628-6117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME88821 FL Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1000 Park Centre Blvd
#100
Miami, FL 33169-5373

Mailing address

1000 Park Centre Blvd
#136
Miami, FL 33169-5373

Other names 1

  • Chen Neighborhood Medical Miami Gardens, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324001909 FL Part B Supplier - Clinic/Group Practice 2860623436 Receives reassigned benefits from 219 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plantation, FL; Pembroke Pines, FL; Hialeah, FL; Opa Locka, FL; Oakland Park, FL; North Miami Beach, FL; North Miami, FL; North Lauderdale, FL…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
PMR US Holdings LLC

Locations

1000 Park Centre Blvd
Ste 136
Miami Gardens, FL 33169
Phone (305) 621-0023

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1992133011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "#136",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "#100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-621-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PMR US HOLDINGS LLC",
        "enumeration_date": "2013-10-29",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "305-628-6117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88821",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chen Neighborhood Medical Miami Gardens, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 4, 2015; 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.