Organization Active NPI

Mark a Latina LLC

  • Ophthalmology Physician
  • Reading, MA
National Provider Identifier
1619413069
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARK A LATINA LLC
Practice address
20 Pondmeadow Dr
#203
Reading, MA 01867-3218
Phone
(781) 942-9876
Fax
(781) 942-9877
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Mark Anthony Latina, M.D.NPI 1801886346
Title
Owner
Phone
(781) 942-9876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

20 Pondmeadow Dr
#203
Reading, MA 01867-3218

Mailing address

20 Pondmeadow Dr
#203
Reading, MA 01867-3218
Phone (781) 942-9876

Other names 1

  • Mark A Latina Sole MBR Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230216000190 MA Part B Supplier - Clinic/Group Practice 2365814514 Receives reassigned benefits from 5 practitioners
Practice locations: Reading, MA; Wakefield, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1619413069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PONDMEADOW DR",
            "address_2": "#203",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673218",
            "telephone_number": "781-942-9876",
            "fax_number": "781-942-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PONDMEADOW DR",
            "address_2": "#203",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673218",
            "telephone_number": "781-942-9876",
            "fax_number": "781-942-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A LATINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "LATINA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-942-9876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Latina Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.