Individual provider Active NPI

Mark Aferzon, MD

  • Otolaryngology Physician
  • Hallandale Beach, FL
National Provider Identifier
1114956380
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
161803 Issued in FL
Practice address
1000 E Hallandale Beach Blvd Ste 1-102
Hallandale Beach, FL 33009-4433
Phone
(754) 400-5959
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 161803 FL Primary

Addresses

Primary practice location

1000 E Hallandale Beach Blvd Ste 1-102
Hallandale Beach, FL 33009-4433

Mailing address

17201 Collins Ave Apt 608
Sunny Isles Beach, FL 33160-3476
Phone (203) 809-7284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040608000177 CT Practitioner - Otolaryngology 2466435904 Practice locations: Shelton, CT
I20240314004307 FL Practitioner - Otolaryngology 2466435904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Warren Alpert Medical School of Brown University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Ear Nose and Throat Institute PLLCGroup PAC ID 5496164949, 2 clinicians

Practice addresses (Care Compare)

1000 E Hallandale Beach Blvd
Suite 1 102
Hallandale Beach, FL 33009-4433
Phone (754) 400-5959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161803FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Ear Nose and Throat Institute PLLC Otolaryngology CurrentSince Apr 1, 2024 Accepting new patients
Scott J. Rocchio, D.C., LLC Past Accepting new patients

Locations

1000 E Hallandale Beach Blvd
Ste 1102
Hallandale Beach, FL 33009
Phone (754) 400-5959

1810 Voorhies Ave
Ste 1
Brooklyn, NY 11235
Phone (718) 616-1000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1114956380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 COLLINS AVE APT 608",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603476",
            "telephone_number": "203-809-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E HALLANDALE BEACH BLVD STE 1-102",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094433",
            "telephone_number": "754-400-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFERZON",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "161803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.