125TH STREET MEDICAL CLINIC
NPI 1396033080
Specialist in North Miami, FL

Active since July 14, 2011
505 NE 125TH ST, NORTH MIAMI, FL 33161(786) 235-7240(786) 235-7241 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 125th Street Medical Clinic NPPES

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

125TH STREET MEDICAL CLINIC (NPI 1396033080) is a healthcare organization registered as a specialist in North Miami, Florida and active in the NPI registry since July 2011. The organization lists Igor Niznik, Owner, as its authorized official.

NPPES Registry Identity

NPI1396033080
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business Name125ST NM CORP
Location Address505 NE 125TH STNorth Miami, FL 33161-4718
Mailing Address505 Ne 125th StNorth Miami, FL 33161-4718 · (786) 235-7240 · Fax (786) 235-7241
Fax(786) 235-7241
Organization SubpartNo
Authorized OfficialIgor NiznikOwner · (786) 235-7240
Enumeration DateJuly 14, 2011
NPI 1396033080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · HCC8934
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
505 NE 125TH ST, North Miami, FL 33161

Other Names 1

Doing Business As125th Street Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
505 NE 125TH ST, SUITE A
NORTH MIAMI, FL 33161
Clinic/Center (Multi-Specialty)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Counselor (Mental Health)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Rehabilitation, Substance Use Disorder)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Rehabilitation, Substance Use Disorder)
505 NE 125TH ST, STE. A
NORTH MIAMI, FL 33161
Physical Therapist
505 NE 125TH ST
NORTH MIAMI, FL 33161
Clinic/Center (Pain)
505 NE 125TH ST
NORTH MIAMI, FL 33161
Psychiatry & Neurology (Addiction Psychiatry)
505 NE 125TH ST
NORTH MIAMI, FL 33161

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 125st Nm Corp's NPI number?

The NPI number for 125st Nm Corp is 1396033080. It was assigned to this organization in the NPPES registry on July 14, 2011. The provider is doing business as 125th Street Medical Clinic.

Where is 125st Nm Corp located?

125st Nm Corp is located at 505 NE 125th St, North Miami, FL 33161. The listed phone number is (786) 235-7240.

What is 125st Nm Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for 125st Nm Corp was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.