Individual provider Active NPI

Mareena Noor Aldayani, DO

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1740977610
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1740977610 Issued in FL
Practice address
515 W State Road 434 Ste 306
Longwood, FL 32750-5163
Phone
(937) 552-5270
NPI assigned
Apr 20, 2023
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1740977610 FL Primary

Addresses

Primary practice location

515 W State Road 434 Ste 306
Longwood, FL 32750-5163

Mailing address

515 W State Road 434 Ste 306
Longwood, FL 32750-5163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20230906000934 RI Order and Referring Only - Family PracticePractitioner - Family Practice 6305209578

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1740977610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 306",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 306",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505163",
            "telephone_number": "937-552-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAYANI",
        "first_name": "MAREENA",
        "middle_name": "NOOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "1740977610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.