Individual provider Active NPI

Edgar Menfug Mock

  • Hearing Instrument Specialist
  • Hialeah, FL
National Provider Identifier
1407942154
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3110 Issued in FL
Practice address
7100 W 20TH Ave Ste 404
Hialeah, FL 33016-1811
Phone
(305) 558-1417
Fax
(305) 558-7187
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3110 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave Ste 404
Hialeah, FL 33016-1811

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-1417

Other practice location 1

17913 NW 7th St Ste 102
Pembroke Pines, FL 33029-2811
Phone (954) 438-4380

Other practice location 2

21150 Biscayne Blvd Ste 102
Aventura, FL 33180-1231
Phone (305) 935-6000

Other identifiers 1

IdentifierTypeStateIssuer
681135300MedicaidFL

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

LicenseStateTypeSpecialty
3110FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Past Accepting new patients
Florida ENT Associates, Inc. PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1407942154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE STE 404",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-558-1417",
            "fax_number": "305-558-7187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17913 NW 7th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292811",
            "country_code": "US",
            "telephone_number": "954-438-4380",
            "fax_number": "954-438-9937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21150 Biscayne Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801231",
            "country_code": "US",
            "telephone_number": "305-935-6000",
            "fax_number": "305-935-6248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "EDGAR",
        "middle_name": "MENFUG",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "3110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681135300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.