Elitemd Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITEMD INC

Practice address

2960 NE 207TH St Unit 1108
Miami, FL 33180-1455

Phone

(305) 224-2707

Fax

(844) 867-3298

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Stern, MD

Title

Ceo

Phone

(305) 224-2707

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1992202758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 NE 207TH ST UNIT 1108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801455",
            "telephone_number": "305-224-2707",
            "fax_number": "844-867-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 NE 207TH ST UNIT 1108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801455",
            "telephone_number": "305-224-2707",
            "fax_number": "844-867-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-224-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBOXONE/METHADONE",
            "identifier": "XS7014626",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083979066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.