Active NPI
Marcel A Hosein
- Driver
- Port St Lucie, FL
National Provider Identifier
1497917637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 4414 SW Abovo St
Port St Lucie, FL 34953-6502 - Phone
- (772) 342-8711
- Fax
- (772) 805-8195
- NPI assigned
- Jun 30, 2008
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
4414 SW Abovo St
Port St Lucie, FL 34953-6502
Mailing address
4414 SW Abovo St
Port St Lucie, FL 34953-6502
Phone (772) 342-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 693720996 | Medicaid | FL | |
| 693720998 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1497917637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 SW ABOVO ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349536502",
"telephone_number": "772-342-8711",
"fax_number": "772-805-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 SW ABOVO ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349536502",
"telephone_number": "772-342-8711",
"fax_number": "772-805-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSEIN",
"first_name": "MARCEL",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693720996",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "693720998",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.