Active NPI
Edgar Menfug Mock
- Hearing Instrument Specialist
- Hialeah, FL
National Provider Identifier
1407942154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3110
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 681135300 | Medicaid | FL |
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 |
|---|---|---|---|
| 3110 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Past | Accepting new patients | |
| Florida ENT Associates, Inc. | Past | 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.
-
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
-
- Otolaryngology Physician
- Hialeah, FL
- NPI 1902567456
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.