Individual provider Active NPI

Marie Martine Altieri, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1801103221
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105592 Issued in FL
Practice address
1599 NW 9TH Ave Ste 203
Boca Raton, FL 33486-1310
Phone
(561) 338-8884
Fax
(561) 338-5230
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105592 FL Primary

Addresses

Primary practice location

1599 NW 9TH Ave Ste 203
Boca Raton, FL 33486-1310

Mailing address

1599 NW 9TH Ave Ste 203
Boca Raton, FL 33486-1310
Phone (954) 397-6173

Other identifiers 1

IdentifierTypeStateIssuer
002752700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413001037 FL Practitioner - Physician Assistant 5991989048 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Medicine Associates PAGroup PAC ID 5991609992, 41 clinicians

Practice addresses (Care Compare)

1599 NW 9TH Ave
Suite 203
Boca Raton, FL 33486-1310
Phone (561) 338-8884

2250 S Dixie Hwy
Miami, FL 33133-2360
Phone (305) 666-4633

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105592FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: marie.altieri.1@1931.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1801103221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE STE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "954-397-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE STE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "561-338-8884",
            "fax_number": "561-338-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIERI",
        "first_name": "MARIE",
        "middle_name": "MARTINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2024-03-04",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002752700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.