MJD WELLNESS AND COMMUNITY CENTER INC
NPI 1275156259
Clinic/Center - Primary Care in North Miami, FL

Q: What is Mjd Wellness And Community Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 25, 2020CLIA 10D2180534 · Waiver

822 NE 125TH ST STE 103, NORTH MIAMI, FL 33161(786) 406-5886 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2024, Jan 20, 2022, Mar 29, 2021 and 1 more (4 updates tracked since 2020).

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About Mjd Wellness And Community Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MJD WELLNESS AND COMMUNITY CENTER INC (NPI 1275156259) is a healthcare organization registered as a primary care in North Miami, Florida and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Emmanuella Fluerimont, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275156259

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMJD WELLNESS AND COMMUNITY CENTER INC

Location Address822 NE 125TH ST STE 103North Miami, FL 33161-5729

Mailing Address822 Ne 125th St Ste 103North Miami, FL 33161-5729 · (786) 534-3896 · Fax (786) 431-4075

Phone(786) 406-5886

Organization SubpartNo

Authorized OfficialEmmanuella FluerimontCeo · (786) 406-5886

Enumeration DateMay 25, 2020

Last NPPES UpdateApril 30, 20244 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1275156259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

822 NE 125TH ST STE 103, North Miami, FL 33161

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mjd Wellness And Community Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20210507000125Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mjd Wellness And Community Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alphonse Dufreny, MD

General Practice

NPI 1356311922

175 SOUTH SR7
Margate, FL 33068

(954) 586-4343

✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2180534

Mjd Wellness And Community Center Inc · North Miami, FL

Active · expires Mar 16, 2028

CLIA Number10D2180534

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateMarch 17, 2026

Certificate Expiration DateMarch 16, 2028

Laboratory DirectorAlphonse G. Dufreny

Laboratory Phone(786) 534-3896

Laboratory LocationMjd Wellness And Community Center Inc822 NE 125th Street Ste 115, North Miami, FL 33161

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mjd Wellness And Community Center Inc's NPI number?

The NPI number for Mjd Wellness And Community Center Inc is 1275156259. It was assigned to this organization in the NPPES registry on May 25, 2020.

Where is Mjd Wellness And Community Center Inc located?

Mjd Wellness And Community Center Inc is located at 822 NE 125th St Ste 103, North Miami, FL 33161. The listed phone number is (786) 406-5886.

What is Mjd Wellness And Community Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Mjd Wellness And Community Center Inc enrolled in Medicare?

Yes. Mjd Wellness And Community Center Inc is registered in the Medicare PECOS enrollment system.

When is Mjd Wellness And Community Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mjd Wellness And Community Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Mjd Wellness And Community Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mjd Wellness And Community Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2180534) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mjd Wellness And Community Center Inc accept?

Health plans from Molina Healthcare list Mjd Wellness And Community Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mjd Wellness And Community Center Inc was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.