NPIMap

Individual provider Active NPI

Mark E Adlen, D.O.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Boca Raton, FL
National Provider Identifier
1477580876
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
OS9102 Issued in FL
Practice address
7300 W Camino Real
Suite 206
Boca Raton, FL 33433-5512
Phone
(561) 299-9994
Fax
(866) 587-8241
NPI assigned
Jun 28, 2006
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-002947L PA
Family Medicine Physician 207Q00000X 27575 NJ
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X OS9102 FL Primary

Addresses

Primary practice location

7300 W Camino Real
Suite 206
Boca Raton, FL 33433-5512

Mailing address

7300 W Camino Real
Suite 206
Boca Raton, FL 33433-5512
Phone (561) 299-9994

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
27575NJMDFamily Medicine Physician
OS-002947LPAMDFamily Medicine Physician
OS9102FLMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singer Island Health, LLC Past Accepting new patients
Singer Island Health LLC Past Accepting new patients
Singer Island Health, LLC Past Accepting new patients
Singer Island Health, LLC Past Accepting new patients
Singer Island Health LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1477580876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 W CAMINO REAL",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335512",
            "telephone_number": "561-299-9994",
            "fax_number": "866-587-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W CAMINO REAL",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335512",
            "telephone_number": "561-299-9994",
            "fax_number": "866-587-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLEN",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-002947L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "27575",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "OS9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.