Individual provider Active NPI

Vladimir Marcelin

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
National Provider Identifier
1366214256
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
4319 Salisbury Rd Ste 103
Jacksonville, FL 32216-0941
Phone
(904) 337-1268
Fax
(720) 600-0873
NPI assigned
Oct 24, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Sleep Specialist (PhD) 173F00000X
Transportation Network Company 342000000X

Addresses

Primary practice location

4319 Salisbury Rd Ste 103
Jacksonville, FL 32216-0941

Mailing address

101 Lochnagar Mountain Dr
St Johns, FL 32259-6674
Phone (484) 844-5959

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

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Family Care, LLC Multi-Specialty CurrentSince Oct 29, 2023 Accepting new patients
Universal Family Care, LLC. Sleep Specialist, PHD CurrentSince Oct 29, 2023 Accepting new patients

Locations

4319 Salisbury Rd
Ste 103
Jacksonville, FL 32216
Phone (904) 570-9404

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ec6b7097-8351-4185-ba79-b9f0c80b045f/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1366214256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOCHNAGAR MOUNTAIN DR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322596674",
            "telephone_number": "484-844-5959",
            "fax_number": "720-600-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 SALISBURY RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160941",
            "telephone_number": "904-337-1268",
            "fax_number": "720-600-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELIN",
        "first_name": "VLADIMIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.