Marta Jacenyik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME67496 Issued in FL

Practice address

2569 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3043

Phone

(850) 934-0932

Fax

(850) 934-0737

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marta.jacenyik.1@24790.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/4389/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marta Jacenyik LLC

  • Adult Medicine Physician
  • Gulf Breeze, FL
  • NPI 1366589780
  NPD (past) Authorized official
• Anita S. Westafer, M.D., P.a.

  • Family Medicine Physician
  • Gulf Breeze, FL
  • NPI 1972565091
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689611766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1171",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325621171",
            "fax_number": "850-934-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633043",
            "telephone_number": "850-934-0932",
            "fax_number": "850-934-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACENYIK",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME67496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inher Physique LLC
• Integrative Chiropractic & Physical Therapy Solutions
• Integrative Chiropractic & Physical Therapy Solutions Inc
• Integrity Hearing Associates LLC
• Catherine Diane Irwin, BCBA
• Emily Jackson
• Jacobs Enterprises, LLC
• Richard Jacobs, D.C.
• Seyed Mehdi Jafari, MD
• Janice M Hudson MD Family Medicine PLLC

• Family Medicine Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.