Organization Active NPI

Marc Alan Saltzman MD PA

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1164726501
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME20954 Issued in FL
Legal business name
MARC ALAN SALTZMAN MD PA
Practice address
17971 Biscayne Blvd Ste 208
Aventura, FL 33160-2532
Phone
(305) 933-1113
Fax
(305) 759-4707
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Marc Alan Saltzman, MDNPI 1750379897
Title
President/Owner
Phone
(305) 933-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME20954 FL Primary

Addresses

Primary practice location

17971 Biscayne Blvd Ste 208
Aventura, FL 33160-2532

Mailing address

20880 W Dixie Hwy
Suite 103
Aventura, FL 33180-1151
Phone (305) 757-2226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drnaclman@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110225000737 FL Part B Supplier - Clinic/Group Practice 3476734203 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0280859Marc a Saltzman MD17971 Biscayne Blvd Ste 208, Aventura, FL 33160Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Locations

20880 W Dixie Hwy
#103
Miami, FL 33180
Phone (305) 757-2226

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1164726501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20880 W DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801151",
            "telephone_number": "305-757-2226",
            "fax_number": "305-759-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD STE 208",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602532",
            "telephone_number": "305-933-1113",
            "fax_number": "305-759-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC ALAN SALTZMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SALTZMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-933-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME20954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnaclman@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "drnaclman@direct.practicefusion.com",
            "address_1": "17971 Biscayne Blvd Ste 208",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331602532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.