Individual provider Active NPI

Josephine Meei Macken, DO

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Naples, FL
National Provider Identifier
1750497541
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
OS19082 Issued in FL
Practice address
12810 Tamiami TRL N Ste 100-D
Naples, FL 34110-1614
Phone
(239) 842-9199
Fax
(239) 320-9986
NPI assigned
Aug 22, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 51605-21 WI
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X OS19082 FL Primary

Addresses

Primary practice location

12810 Tamiami TRL N Ste 100-D
Naples, FL 34110-1614

Mailing address

4995 Milano St
Ave Maria, FL 34142-9545
Phone (239) 842-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51605-21WIMDPhysical Medicine & Rehabilitation Physician
OS19082FLMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1750497541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 MILANO ST",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429545",
            "telephone_number": "239-842-9199",
            "fax_number": "239-320-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 TAMIAMI TRL N STE 100-D",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101614",
            "telephone_number": "239-842-9199",
            "fax_number": "239-320-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEN",
        "first_name": "JOSEPHINE",
        "middle_name": "MEEI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "51605-21",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "OS19082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.