Individual provider Active NPI

Marc Pomerantz

  • Specialist
  • Gainesville, FL
National Provider Identifier
1285229187
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA78049 Issued in FL
Practice address
3600 NW 43Rd St Ste E3
Gainesville, FL 32606-8134
Phone
(352) 378-5400
Fax
(352) 378-6332
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA78049 FL Primary

Addresses

Primary practice location

3600 NW 43Rd St Ste E3
Gainesville, FL 32606-8134

Mailing address

3600 NW 43Rd St Ste E3
Gainesville, FL 32606-8134
Phone (352) 378-5400

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL computer
CONNECT URL computer

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA78049FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bowers Massage Therapy Inc PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1285229187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE E3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068134",
            "telephone_number": "352-378-5400",
            "fax_number": "352-378-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW 43RD ST STE E3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068134",
            "telephone_number": "352-378-5400",
            "fax_number": "352-378-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA78049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "3600 NW 43rd St Ste E3",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326068134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "3600 NW 43rd St Ste E3",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326068134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.