Organization Active NPI

Marvin Mordes, M.D., P.a.

  • Neurology Physician
  • West Palm Beach, FL
National Provider Identifier
1265876692
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME87570 Issued in FL
Legal business name
MARVIN MORDES, M.D., P.A.
Practice address
4920 Loring Dr
West Palm Beach, FL 33417-8052
Phone
(561) 209-1086
Fax
(561) 209-6355
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Marvin Mordes, M.D.
Title
Ceo
Phone
(561) 209-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME87570 FL Primary

Addresses

Primary practice location

4920 Loring Dr
West Palm Beach, FL 33417-8052

Mailing address

4920 Loring Dr
West Palm Beach, FL 33417-8052
Phone (561) 209-1086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1265876692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 LORING DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178052",
            "telephone_number": "561-209-1086",
            "fax_number": "561-209-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 LORING DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178052",
            "telephone_number": "561-209-1086",
            "fax_number": "561-209-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN MORDES, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "MORDES",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-209-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME87570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.