Alex J Marban MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0072806 Issued in FL

Legal business name

ALEX J MARBAN MD PA

Practice address

290 W 49TH St
Hialeah, FL 33012-3763

Phone

(305) 557-0642

Fax

(305) 557-1578

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Padron Besu

Title

Office Manager

Phone

(305) 557-0642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Alex J Marban, M.D.

  • Otolaryngology Physician
  • Hialeah, FL
  • NPI 1730377581

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1336208685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 WEST 49TH STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123763",
            "telephone_number": "305-557-0642",
            "fax_number": "305-557-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123763",
            "telephone_number": "305-557-0642",
            "fax_number": "305-557-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX J MARBAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "BESU",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "PADRON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-557-0642",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0072806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.