Mary Ellen Zondorak-Perez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0061463 Issued in FL

Practice address

2964 N State Road 7
Suite 340
Margate, FL 33063-5715

Phone

(954) 974-3006

Fax

(954) 974-8921

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 13, 2025 through Jan 13, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Personal Care Pediatrics

  • Pediatrics Physician
  • Margate, FL
  • NPI 1447353909
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1376658757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7",
            "address_2": "SUITE 340",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635715",
            "telephone_number": "954-974-3006",
            "fax_number": "954-974-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7",
            "address_2": "SUITE 340",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635715",
            "telephone_number": "954-974-3006",
            "fax_number": "954-974-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONDORAK-PEREZ",
        "first_name": "MARY ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0061463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373952000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zenmamalove LLC
• Dongfeng Zhou
• Olivia Zicchinelli, M.A., CCC-SLP
• Zipes Podiatry PA
• Lauren Rachel Zipes, DPM
• Jeanelle Zuluaga
• Rodrigo Zuniga

• Pediatrics Physician in Margate, FL
• Providers in Margate, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.