LIFETIME MEDICAL ASSOCIATES OF AVENTURA
NPI 1609486778
Internal Medicine in Aventura, FL

Active since August 04, 2020CLIA Certified · 2 labs
21097 NE 27TH CT STE 300, AVENTURA, FL 33180(305) 409-0197 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Apr 1, 2021, Aug 4, 2020 (3 updates tracked since 2020).

About Lifetime Medical Associates Of Aventura NPPES

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

LIFETIME MEDICAL ASSOCIATES OF AVENTURA (NPI 1609486778) is a healthcare organization registered as an internal medicine in Aventura, Florida and active in the NPI registry since August 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Sunny Isles Beach, and lists Stacy D Roskin, Owner, as its authorized official.

NPPES Registry Identity

NPI1609486778
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFETIME MEDICAL ASSOCIATES OF AVENTURA
Location Address21097 NE 27TH CT STE 300Aventura, FL 33180-1206
Mailing Address21097 Ne 27th Ct Ste 300Aventura, FL 33180-1206 · (786) 244-2700 · Fax (800) 980-3761
Organization SubpartNo
Authorized OfficialStacy D RoskinOwner · (305) 409-0197
Enumeration DateAugust 4, 2020
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1609486778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
21097 NE 27TH CT STE 300, Aventura, FL 33180

Secondary Practice Location 1

Location 1240 174th St Ste 108Sunny Isles Beach, FL 33160-7002 · Phone (305) 974-5933 · Fax (800) 980-3761

Other Identifiers 1

OtherME-74069FL · License

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 SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 10D2197996

Lifetime Medical Associates Of Aventura PLLC · Aventura, FL
Active · expires Oct 28, 2026
CLIA Number10D2197996
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorStacy Roskin
Laboratory Phone(786) 480-5707
Laboratory LocationLifetime Medical Associates Of Aventura PLLC21097 NE 27th Ct Ste 300, Aventura, FL 33180
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2320599

Lifetime Medical Associates Of Sunny Isles, PLLC · Sunny Isles Beach, FL
Active · expires Mar 19, 2027
CLIA Number10D2320599
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorStacy D. Roskin
Laboratory Phone(305) 974-5933
Laboratory LocationLifetime Medical Associates Of Sunny Isles, PLLC240 174th Street, Unit 108, Sunny Isles Beach, FL 33160
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
21097 NE 27TH CT STE 300
AVENTURA, FL 33180

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 Lifetime Medical Associates Of Aventura's NPI number?

The NPI number for Lifetime Medical Associates Of Aventura is 1609486778. It was assigned to this organization in the NPPES registry on August 4, 2020.

Where is Lifetime Medical Associates Of Aventura located?

Lifetime Medical Associates Of Aventura is located at 21097 NE 27th Ct Ste 300, Aventura, FL 33180. The listed phone number is (305) 409-0197.

What is Lifetime Medical Associates Of Aventura's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lifetime Medical Associates Of Aventura hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lifetime Medical Associates Of Aventura accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lifetime Medical Associates Of Aventura 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 Lifetime Medical Associates Of Aventura was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.