Organization Active NPI

Mark T Agrama MD PA

Doing business as Palm Beach Sleep and Sinus

  • Otolaryngology Physician
  • Jupiter, FL
National Provider Identifier
1699102210
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME87650 Issued in FL
Legal business name
MARK T AGRAMA MD PA
Doing business as
Palm Beach Sleep and Sinus
Practice address
500 University Blvd
Suite 208
Jupiter, FL 33458-2773
Phone
(561) 624-5311
NPI assigned
Sep 27, 2013
Last updated
Oct 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Dr. Mark Tarek Agrama, M.D.NPI 1497781785
Title
Ceo
Phone
(561) 628-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME87650 FL Primary

Addresses

Primary practice location

500 University Blvd
Suite 208
Jupiter, FL 33458-2773

Mailing address

500 University Blvd
Suite 208
Jupiter, FL 33458-2773
Phone (561) 624-5311

Other names 1

  • Palm Beach Sleep and Sinus Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1699102210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-624-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-624-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T AGRAMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "AGRAMA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TAREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-628-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME87650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Sleep and Sinus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.