Mark Jaffe M D P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0068879 Issued in FL

Legal business name

MARK JAFFE M D P A

Practice address

1 SW 129TH Ave
Pembroke Pines, FL 33027-1761

Phone

(954) 441-9995

Fax

(954) 441-9033

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Jaffe, M.D.NPI 1730160615

Title

President

Phone

(954) 441-9995

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Mark Jaffe, M.D.

  • Rheumatology Physician
  • Hollywood, FL
  • NPI 1730160615
  Medicare reassignment NPD Authorized official
• Elizabeth Montes de Oca, APRN

  • Nurse Practitioner
  • Miramar, FL
  • NPI 1386409829
  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1962410381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-441-9995",
            "fax_number": "954-441-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271761",
            "telephone_number": "954-441-9995",
            "fax_number": "954-441-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JAFFE M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-441-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379137800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FR664A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Miguel Marino Urbino, MD
• Ashley Marie Marino, BCABA
• Mario Magcalas MD PA
• Maritech Systems, Inc
• Mark Forrest D.M.D. P.a.
• Mark Nathan DC PA
• Averil Kayla Mark, M.S.,CCC-SLP
• Novia Markes, APRN
• Slavisa Markovic, MD
• Marlene Lora-Mejia Inc

• Specialist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.