Active NPI
Yosef Chaim Marder, D.M.D.
- Dentist
- Pembroke Pines, FL
National Provider Identifier
1386096618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D20403
- Practice address
- 302 NW 179TH Ave
Suite # 201
Pembroke Pines, FL 33029-2818 - Phone
- (954) 374-9215
- Fax
- (954) 589-0290
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D20403 | FL | Primary |
Addresses
Primary practice location
302 NW 179TH Ave
Suite # 201
Pembroke Pines, FL 33029-2818
Mailing address
538 Coldstream Ave
Toronto, ONTARIO M6B 2K9
CA
Phone (647) 673-7863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D20403 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468195200000",
"number": "1386096618",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "538 COLDSTREAM AVE",
"city": "TORONTO",
"state": "ONTARIO",
"postal_code": "M6B 2K9",
"telephone_number": "647-673-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 NW 179TH AVE",
"address_2": "SUITE # 201",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330292818",
"telephone_number": "954-374-9215",
"fax_number": "954-589-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "YOSEF",
"middle_name": "CHAIM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2016-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "D20403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.