Individual provider Active NPI

Mark Rogovin, D.O.

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1891721999
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6556 Issued in FL
Practice address
7730 Boynton Beach Blvd
Ste 3
Boynton Beach, FL 33437-6155
Phone
(561) 742-4460
Fax
(561) 742-4494
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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 OS6556 FL Primary

Addresses

Primary practice location

7730 Boynton Beach Blvd
Ste 3
Boynton Beach, FL 33437-6155

Mailing address

7730 Boynton Beach Blvd Ste 3
Boynton Beach, FL 33437-6155
Phone (561) 877-1800

Other identifiers 1

IdentifierTypeStateIssuer
372896000MedicaidFL

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
I20061114000310 FL Practitioner - Family Practice 9234137803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Associates of Palm Beach LLCGroup PAC ID 7719220128, 4 clinicians

Practice addresses (Care Compare)

7730 Boynton Beach Blvd
Suite 3
Boynton Beach, FL 33437-6155
Phone (561) 877-1800

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Boynton Beach, FL, CCN 107526
  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Associates of Palm Beach LLC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Medical Specialists of the Palm Beaches Inc Family Medicine Past Accepting new patients
Bethesda Medical Associates Past Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 3
Boynton Beach, FL 33437
Phone (561) 742-4460

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

Organizations & group practices 3

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 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1891721999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 BOYNTON BEACH BLVD STE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376155",
            "telephone_number": "561-877-1800",
            "fax_number": "561-742-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 BOYNTON BEACH BLVD",
            "address_2": "STE 3",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376155",
            "telephone_number": "561-742-4460",
            "fax_number": "561-742-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOVIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372896000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.