Individual provider Active NPI

John V Marraccini, M.D.

  • Forensic Pathology Physician
  • South Miami, FL
National Provider Identifier
1679651665
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
ME36275 Issued in FL
Practice address
6280 Sunset Dr
Suite 407
South Miami, FL 33143-4827
Phone
(305) 666-8858
Fax
(305) 665-1731
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X ME36275 FL Primary

Addresses

Primary practice location

6280 Sunset Dr
Suite 407
South Miami, FL 33143-4827

Mailing address

6280 Sunset Dr
Suite 407
South Miami, FL 33143-4827
Phone (305) 666-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000763 FL Practitioner - Family PracticePractitioner - Pathology 6002975992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME36275FLMDForensic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Marraccini MD PA CurrentSince Jul 31, 2010 Accepting new patients

Locations

8525 SW 92nd St
Ste B4
Miami, FL 33156
Phone (305) 279-7446

6280 Sunset Dr
Ste 407
South Miami, FL 33143
Phone (305) 666-8858

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDCECD/Endpoint/JDCECD

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1679651665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR",
            "address_2": "SUITE 407",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434827",
            "telephone_number": "305-666-8858",
            "fax_number": "305-665-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNSET DR",
            "address_2": "SUITE 407",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434827",
            "telephone_number": "305-666-8858",
            "fax_number": "305-665-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRACCINI",
        "first_name": "JOHN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "FL",
            "license": "ME36275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.