Individual provider Active NPI

Marc S Carp, MD

  • Gastroenterology Physician
  • North Miami Beach, FL
National Provider Identifier
1942313291
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0038332 Issued in FL
Practice address
1400 NE Miami Gardens Dr
Suite 221
North Miami Beach, FL 33179
Phone
(305) 949-2020
Fax
(305) 949-6715
NPI assigned
Aug 17, 2006
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0038332 FL Primary

Addresses

Primary practice location

1400 NE Miami Gardens Dr
Suite 221
North Miami Beach, FL 33179

Mailing address

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

Other identifiers 7

IdentifierTypeStateIssuer
2499150OtherGHI
22472OtherSTAYWELL
22472OtherWELLCARE
95735OtherBLUECROSS
203400983OtherFLCHAMPUS
3450134OtherAETNA
P00120815OtherRAILROAD MEDICARE

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
I20040825001007 FL Practitioner - Gastroenterology 3779557939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0038332FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Mar 1, 2009 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Mar 1, 2009 Accepting new patients
Marc S Carp PL PastSince May 14, 2004 Accepting new patients

Locations

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

9500 S Dadeland Blvd
Ste 802
Miami, FL 33156

1400 NE Miami Gardens Dr
Ste 221
North Miami Beach, FL 33179
Phone (305) 609-3278

Interoperability endpoints

  • Direct secure messaging: marccarp@directaddress.net

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, 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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1942313291",
    "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": "SUITE 221",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33179",
            "telephone_number": "305-949-2020",
            "fax_number": "305-949-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARP",
        "first_name": "MARC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "0038332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2499150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "22472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "22472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "95735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "203400983",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3450134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00120815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.