Individual provider Active NPI

Barry Jay Mark, M.D.

  • Allergy & Immunology Physician
  • Aventura, FL
National Provider Identifier
1073527479
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME88114 Issued in FL
Practice address
21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1226
Phone
(305) 932-3252
Fax
(305) 932-2798
NPI assigned
Jul 28, 2006
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME88114 FL Primary

Addresses

Primary practice location

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1226

Mailing address

11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808

Other identifiers 1

IdentifierTypeStateIssuer
276214500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000120 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9032002431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1960 NE 47TH St
101 Florida Center for Allergy and Asthma Car
Fort Lauderdale, FL 33308-7708
Phone (954) 772-3366

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1250
Phone (305) 932-3252

2901 Coral Hills Dr
Suite 310
Coral Springs, FL 33065-4165
Phone (954) 344-8100

350 NW 84TH Ave
205 Florida Center for Allergy and Asthma Car
Plantation, FL 33324-1859
Phone (954) 472-4848

600 N Hiatus Rd
215 Florida Center for Allergy and Asthma Car
Pembroke Pines, FL 33026-5207
Phone (954) 437-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME88114FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology Current Accepting new patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology CurrentSince Sep 27, 2011 Accepting new patients
Sandtown Foot & Ankle Center LLC Past Accepting new patients
Family Health Centers of Baltimore Past Accepting new patients

Locations

21150 Biscayne Blvd
Ste 40
Aventura, FL 33180
Phone (305) 932-3252

21150 Biscayne Blvd
Ste 408
Aventura, FL 33180
Phone (305) 932-3252

7301 W Palmetto Park Rd
Ste 105C
Boca Raton, FL 33433
Phone (561) 392-8832

1960 NE 47th St
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 772-3366

2699 Stirling Rd
Ste B305
Ft Lauderdale, FL 33312
Phone (954) 962-5363

11880 SW 40th St
Ste 304
Miami, FL 33175
Phone (305) 223-8808

16401 NW 2nd Ave
Ste 204
North Miami Beach, FL 33169
Phone (305) 652-8151

600 N Hiatus Rd
Ste 215
Pembroke Pines, FL 33026
Phone (954) 437-3600

350 NW 84th Ave
Ste 205
Plantation, FL 33324
Phone (954) 472-4848

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1073527479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "SUITE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-223-8808",
            "fax_number": "305-223-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "SUITE 408",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-932-3252",
            "fax_number": "305-932-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "BARRY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME88114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276214500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.