Organization Active NPI

Rejuveface, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1386050854
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
REJUVEFACE, LLC
Practice address
4901 Clark Rd
Sarasota, FL 34233-3251
Phone
(941) 735-7532
NPI assigned
Jul 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Mark A Checcone, MDNPI 1548463839
Title
Facial Plastic Surgeon
Phone
(941) 735-7532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Primary

Addresses

Primary practice location

4901 Clark Rd
Sarasota, FL 34233-3251

Mailing address

4901 Clark Rd
Sarasota, FL 34233-3251
Phone (941) 404-5438

Other practice location 1

4903 Clark Rd
Sarasota, FL 34233-3251
Phone (941) 404-5438

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address secure@rejuveface.drchronodirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908001560 FL Part B Supplier - Clinic/Group Practice 0042439945 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

5105 Manatee Ave W
Ste 20
Bradenton, FL 34209
Phone (941) 404-5438

4901 Clark Rd
Sarasota, FL 34233
Phone (941) 404-5438

4903 Clark Rd
Sarasota, FL 34233
Phone (941) 404-5438

Interoperability endpoints

  • Direct secure messaging: secure@rejuveface.drchronodirect.com

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1386050854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333251",
            "telephone_number": "941-404-5438",
            "fax_number": "941-953-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333251",
            "telephone_number": "941-735-7532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4903 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342333251",
            "country_code": "US",
            "telephone_number": "941-404-5438",
            "fax_number": "941-953-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVEFACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-06",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "CHECCONE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FACIAL PLASTIC SURGEON",
        "authorized_official_telephone_number": "941-735-7532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secure@rejuveface.drchronodirect.com",
            "affiliation": "N",
            "endpointDescription": "DrChrono EHR Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4903 Clark Rd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342333251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.