Organization Active NPI

Mark S Block DPM PA

  • Customized Equipment (DME)
  • Boca Raton, FL
National Provider Identifier
1700064490
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MARK S BLOCK DPM PA
Practice address
660 Glades Rd Ste 120
Boca Raton, FL 33431-6466
Phone
(561) 368-3232
Fax
(561) 368-3234
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Adele Block
Title
Office Manager
Phone
(561) 368-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

660 Glades Rd Ste 120
Boca Raton, FL 33431-6466

Mailing address

660 Glades Rd Ste 120
Boca Raton, FL 33431-6466
Phone (561) 368-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930047875 FL DME Supplier - Physician - Podiatry 7517087950 Practice locations: Boca Raton, FL
O20101102001100 FL Part B Supplier - Clinic/Group Practice 7517087950 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

660 Glades Rd
Ste 120
Boca Raton, FL 33431
Phone (561) 368-3232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1700064490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316466",
            "telephone_number": "561-368-3232",
            "fax_number": "561-368-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316466",
            "telephone_number": "561-368-3232",
            "fax_number": "561-368-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S BLOCK DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-368-3232"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.