Individual provider Active NPI

Vicky Jasmine Marsh, DO

  • Family Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1861748717
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS13399 Issued in FL
Practice address
4900 W Oakland Park Blvd FL 3
Lauderdale Lakes, FL 33313-7500
Phone
(954) 327-4060
NPI assigned
Jul 30, 2012
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS13399 FL Primary
General Practice Physician 208D00000X UO3299 FL

Addresses

Primary practice location

4900 W Oakland Park Blvd FL 3
Lauderdale Lakes, FL 33313-7500

Mailing address

2300 NW 89TH PL FL 3
Doral, FL 33172-2431
Phone (305) 398-6100

Other practice location 1

220 SW 2nd St
Pompano Beach, FL 33060-4611
Phone (954) 941-9828

Other practice location 2

3850 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3300

Other practice location 3

4101 NW 4th St
Suite 211
Plantation, FL 33317-2850
Phone (954) 383-5159

Other practice location 4

3800 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3600

Other practice location 5

3733 W Flagler St
Coral Gables, FL 33134-1601
Phone (305) 774-3300

Other practice location 6

140 NW 59th St
Miami, FL 33127-1218
Phone (305) 774-3300

Other practice location 7

10720 Caribbean Blvd Ste 420
Cutler Bay, FL 33189-1244
Phone (786) 293-9544

Other identifiers 3

IdentifierTypeStateIssuer
OS13399OtherFLFL LICENSE
UO3299OtherFLTRADITIONAL ROTATING INTERN
101182500MedicaidFL

Other names 1

  • Dr. Vicky Kosakowski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmarsh@advancedrecoverysystems.com Direct The Treatment Center By The Recovery Village, LLC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180106000033 FL Practitioner - Family PracticePractitioner - Addiction Medicine 8224396395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Ez Health Medical Group PAGroup PAC ID 7214469816, 34 clinicians

Practice addresses (Care Compare)

1801 NE 123Rd St
Suite 314
North Miami, FL 33181-2883
Phone (385) 327-2541

4900 W Oakland Park Blvd
FL 3
Lauderdale Lakes, FL 33313-7500
Phone (305) 398-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO3299FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banyan Community Health Center, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Ez Health Medical Group PA Family Medicine CurrentSince Jan 3, 2025 Accepting new patients
Banyan Community Health Center, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Banyan Community Health Center, Inc. PastSince Aug 1, 2021 Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients
Banyan Community Health Center, Inc. Past Accepting new patients

Locations

3800 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

3850 W Flagler St
Coral Gables, FL 33134
Phone (305) 774-3300

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

2300 NW 89th Pl
Fl 3
Doral, FL 33172

4900 W Oakland Park Blvd
Fl 3
Lauderdale Lakes, FL 33313
Phone (954) 327-4060

4900 W Oakland Park Blvd
Ste 101
Lauderdale Lakes, FL 33313
Phone 30539861006186

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

Interoperability endpoints

  • Direct secure messaging: vicky.marsh@bchc.directbygreenway.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1861748717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NW 89TH PL FL 3",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722431",
            "telephone_number": "305-398-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W OAKLAND PARK BLVD FL 3",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137500",
            "telephone_number": "954-327-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330604611",
            "country_code": "US",
            "telephone_number": "954-941-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 NW 4th St",
            "address_2": "Suite 211",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172850",
            "country_code": "US",
            "telephone_number": "954-383-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3733 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341601",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 NW 59th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331271218",
            "country_code": "US",
            "telephone_number": "305-774-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10720 Caribbean Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331891244",
            "country_code": "US",
            "telephone_number": "786-293-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "VICKY",
        "middle_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13399",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO3299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "OS13399",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL ROTATING INTERN",
            "identifier": "UO3299",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101182500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmarsh@advancedrecoverysystems.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "The Treatment Center By The Recovery Village, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4905 Lantana Rd",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334636915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "KOSAKOWSKI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.