Magnifydx LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MAGNIFYDX LLC

Practice address

100 Executive Way Ste 114
Ponte Vedra Beach, FL 32082-2713

Phone

(904) 842-3632

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Mark Cappel, MDNPI 1780668657

Title

Owner

Phone

(904) 686-7771

Specialties & licenses 3

Addresses

Other names 1

• DERMAGNIFY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Cappel, MD

  • Dermatology Physician
  • Ponte Vedra Beach, FL
  • NPI 1780668657
  Medicare reassignment NPD Authorized official
• Eva Vertes George, M.D.

  • Anatomic Pathology Physician
  • Fort Myers, FL
  • NPI 1144662107
  NPD
• Carlos A Ricotti, MD

  • Dermatopathology Physician
  • Miami, FL
  • NPI 1497956569

  Dermatology

  NPD
• Bonnie L Balzer, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • West Hollywood, CA
  • NPI 1649247602
  NPD
• Darren Eugene Whittemore, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
  • NPI 1437130804

  Dermatopathology

  NPD

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1043888985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 114",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822713",
            "telephone_number": "904-842-3632",
            "fax_number": "877-624-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 114",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822713",
            "telephone_number": "904-842-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFYDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "CAPPEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-686-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERMAGNIFY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John H Linder, NP
• Laura Lui
• Hillary Marie Luke-Tindley, DNP, APRN, FNP-C
• Justin Stuart Gee Ming Ma, DPT, PT
• Cameron Money Macchia
• Pamela J Mahan, PA
• Smita Malhotra, DPM
• Dawn A. Mallard, MA CCC-SLP
• Jennifer Marie Mallis, MSW, LCSW, QS
• Mandala Family Wellness LLC

• Dermatology Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.