Active NPI
Jacob Ariel Marder, DNP
- Family Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11008886
- Practice address
- 1411 N Flagler Dr Ste 9000
West Palm Beach, FL 33401-3421 - Phone
- (561) 584-8460
- Fax
- (561) 935-5537
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | APRN11008886 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11008886 | FL | Primary |
Addresses
Primary practice location
1411 N Flagler Dr Ste 9000
West Palm Beach, FL 33401-3421
Mailing address
1411 N Flagler Dr Ste 9000
West Palm Beach, FL 33401-3421
Other names 1
- Dr. Jacob Marder
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1411 N Flagler Dr
Suite 9000
West Palm Beach, FL 33401-3421
Phone (561) 584-8460
Hospital & facility affiliations
- First Choice Home Health Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11008886 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Pediatric Dermatology Practitioners P a | Current | Accepting new patients | |
| Adult and Pediatric Dermatology Practitioners P a | Current | Accepting new patients | |
| Jacob a Marder, DNP PA | Dermatology | Current | Accepting new patients |
Locations
8980 S US Highway 1
Ste 103
Port St Lucie, FL 34952
Phone (561) 406-9566
6100 SE Federal Hwy
Stuart, FL 34997
Phone (772) 600-7688
1411 N Flagler Dr
Ste 9000
West Palm Beach, FL 33401
Phone (561) 584-8460
35 Green Pond Rd
Ste C
Rockaway, NJ 07866
Phone (973) 208-8110
Organizations & group practices 3
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.
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1790489524
-
- Specialist
- Port St Lucie, FL
- NPI 1417620469
-
- Specialist
- Stuart, FL
- NPI 1528731569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boynton Beach, FL
- NPI 1417041534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1154934149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 9000",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR STE 9000",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013421",
"telephone_number": "561-584-8460",
"fax_number": "561-935-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "JACOB",
"middle_name": "ARIEL",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "APRN11008886",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACOB",
"last_name": "MARDER",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.