Healthcare Provider Details

I. General information

NPI: 1821093451
Provider Name (Legal Business Name): MIAMI JEWISH HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 NE 2ND AVE
MIAMI FL
33137
US

IV. Provider business mailing address

5200 NE 2ND AVE
MIAMI FL
33137-2706
US

V. Phone/Fax

Practice location:
  • Phone: 305-751-8626
  • Fax: 305-762-1431
Mailing address:
  • Phone: 305-751-8626
  • Fax: 305-762-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0633620001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number0633620001
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number11354
License Number StateFL

VIII. Authorized Official

Name: JASON PINCUS
Title or Position: NURSING HOME ADMINISTRATOR
Credential:
Phone: 305-751-8626