Individual provider Active NPI

Marina Rabkin, MD

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1366492951
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME92879 Issued in FL
Practice address
665 State Road 207
Suite 102
St Augustine, FL 32084-5938
Phone
(904) 824-8158
Fax
(904) 823-1284
NPI assigned
May 12, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME92879 FL Primary

Addresses

Primary practice location

665 State Road 207
Suite 102
St Augustine, FL 32084-5938

Mailing address

665 State Road 207
Suite 102
St Augustine, FL 32084-5938
Phone (904) 824-8158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000397 FL Practitioner - Family Practice 4789603838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC Medical Holdings LLCGroup PAC ID 0446679468, 27 clinicians

Practice addresses (Care Compare)

2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825

7000 W Palmetto Park Rd
103 PCC of East Boca
Boca Raton, FL 33433-3429
Phone (561) 347-8122

8130 Royal Palm Blvd
Suite 205
Coral Springs, FL 33065-5703
Phone (954) 840-1666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Jul 20, 2020 Accepting new patients

Locations

7000 W Palmetto Park Rd
Ste 103
Boca Raton, FL 33433
Phone (561) 347-8122

7000 W Palmetto Park Rd
Ste 406
Boca Raton, FL 33433
Phone (561) 289-3421

9960 Central Park Blvd N
Ste 450
Boca Raton, FL 33428
Phone (561) 852-6500

1363 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 570-7270

4201 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 485-1131

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731

7166 N Nob Hill Rd
Tamarac, FL 33321
Phone (786) 583-5100

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: marina.rabkin.1@32578.direct.athenahealth.com

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1366492951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207",
            "address_2": "SUITE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845938",
            "telephone_number": "904-824-8158",
            "fax_number": "904-823-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207",
            "address_2": "SUITE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845938",
            "telephone_number": "904-824-8158",
            "fax_number": "904-823-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABKIN",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.