Marcus Mason MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME83825 Issued in FL

Legal business name

MARCUS MASON MD PA

Practice address

1950 NW 55TH Ter
Miami, FL 33142-3046

Phone

(305) 803-4371

Fax

(305) 634-5204

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Mason, M.D.NPI 1033181854

Title

President

Phone

(305) 803-4371

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Marcus Mason, MD

  • Specialist
  • Miami, FL
  • NPI 1033181854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1740487883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NW 55TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423046",
            "telephone_number": "305-803-4371",
            "fax_number": "305-634-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NW 55TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331423046",
            "telephone_number": "305-803-4371",
            "fax_number": "305-634-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS MASON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-803-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME83825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Luis Marcos, MD
• Nicholas Joseph Marcos, PA-C
• Robert Marcovich, MD
• Marcus Distributors Corp
• Marcus Distributors Corp
• Marcus Psychology, Inc.
• Arielle Leanne Marcus
• Erin N Marcus, MD
• Marilyn L Marcus, D.O.
• Phyllis C Marcus, M.S.

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.