Organization Active NPI

Marilyn Marcus DO PA

  • Family Medicine Physician
  • Cutler Bay, FL
National Provider Identifier
1568780187
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS3473 Issued in FL
Legal business name
MARILYN MARCUS DO PA
Practice address
18430 S Dixie Hwy
Cutler Bay, FL 33157-6816
Phone
(305) 253-0040
Fax
(305) 253-0177
NPI assigned
May 6, 2010
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Kim S Prozzillo
Title
Office Manager
Phone
(305) 253-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS3473 FL Primary

Addresses

Primary practice location

18430 S Dixie Hwy
Cutler Bay, FL 33157-6816

Mailing address

18430 S Dixie Hwy
Cutler Bay, FL 33157-6816
Phone (305) 253-0040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1568780187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 S DIXIE HWY",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576816",
            "telephone_number": "305-253-0040",
            "fax_number": "305-253-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 S DIXIE HWY",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576816",
            "telephone_number": "305-253-0040",
            "fax_number": "305-253-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN MARCUS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "PROZZILLO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-253-0040"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.