Mark E Adlen, D.O.
Individual provider Active NPI Addiction Medicine (Psychiatry & Neurology) Physician · Boca Raton, FL
NPI 1477580876 · NPPES record last updated Sep 8, 2016
Key facts
- NPI
- 1477580876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
- License
- OS9102 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27575 | NJ | MD | Family Medicine Physician |
| OS-002947L | PA | MD | Family Medicine Physician |
| OS9102 | FL | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | 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 | |
| Singer Island Health, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-002947L | PA | |
| Family Medicine Physician | 207Q00000X | 27575 | NJ | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | OS9102 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2074940 | Other | PA | AETNA |
| 0006166850001 | Medicaid | PA | |
| 0734967002 | Other | PA | CIGNA HEALTHCARE |
| BUP007 | Other | PA | OXFORD |
| 053319 | Other | PA | HIGHMARK BCBS |
| 4900308 | Medicaid | NJ | |
| 0022623000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 0022623000 | Other | PA | IBC PERSONAL CHOICE |
| 053319 | Other | NJ | HORIZON BCBS NJ |
| 1006861 | Other | PA | MERCY |
| 0061668506 | Other | PA | AMERICHOICE |
Other providers in Boca Raton, FL
- Mark Adelman
- Adesoji Adeolu Adenigbagbe
- Oluwatoyin Adeniji
- Bolaji Adepeko
- Adesumbo Adesioye
- Laura Adler
- Adnan Shariff, Inc
- Adolph and Rose Levis Jewish Community Center
- Adrea R. Samoleski, MD PA
- Steven Adrien
All providers in Boca Raton, FL · Addiction Medicine (Psychiatry & Neurology) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.