Marcie Kazdan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9116683 Issued in FL

Practice address

9970 Central Park Blvd N Ste 207
Boca Raton, FL 33428-2236

Phone

(561) 482-1027

Fax

(561) 482-1028

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Neuroscience Consultants LLP

  • Specialist
  • Medley, FL
  • NPI 1346217452
  Medicare reassignment Care Compare group
• True North Medical at North Suffolk PLLC

  • Neurology Physician
  • Port Jefferson Station, NY
  • NPI 1639804628
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1467905232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-482-1027",
            "fax_number": "561-482-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 NW 15th St Ste 216A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861390",
            "country_code": "US",
            "telephone_number": "561-336-8484",
            "fax_number": "561-338-8492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZDAN",
        "first_name": "MARCIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019721-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9116683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kay, LCSW
• Matthew D Kay, M.D.
• William Kay, D.M.D.
• Mallory Elizabeth Kazaleh, DO
• Jennifer Ann Kazamias, D.P.M.
• Natalya Keable
• Patricia Keating
• Dustin Ross Kebre, M.A; LMFT
• Leslie Kecskes, LMHC
• Keep Pushing Wellness

• Medical Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.