Organization Active NPI

Marc S Carp PL

  • Specialist
  • North Miami Beach, FL
National Provider Identifier
1891781183
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0038332 Issued in FL
Legal business name
MARC S CARP PL
Practice address
1400 NE Miami Gardens Dr
Ste 221
North Miami Beach, FL 33179-4844
Phone
(305) 949-2020
Fax
(305) 949-6715
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Marc S Carp, MDNPI 1942313291
Title
Employee
Phone
(305) 949-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0038332 FL Primary

Addresses

Primary practice location

1400 NE Miami Gardens Dr
Ste 221
North Miami Beach, FL 33179-4844

Mailing address

PO Box 848593
Boston, MA 02284-8593
Phone (305) 468-4180

Other identifiers 6

IdentifierTypeStateIssuer
2499150OtherFLGHI
P00120815OtherFLRAILROAD MEDICARE
22472OtherFLWELLCARE/STAYWELL
049699500MedicaidFL
3450134OtherFLAETNA
95735OtherFLBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1891781183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848593",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848593",
            "telephone_number": "305-468-4180",
            "fax_number": "305-595-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR",
            "address_2": "STE 221",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794844",
            "telephone_number": "305-949-2020",
            "fax_number": "305-949-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC S CARP PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "CARP",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "305-949-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0038332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2499150",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00120815",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "22472",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049699500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3450134",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "95735",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.