Individual provider Active NPI

Marlene Gaby Bachrach, APRN

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1982769279
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2983182 Issued in FL
Practice address
5040 NW 7TH St Ste 100
Miami, FL 33126-3425
Phone
(305) 576-6611
NPI assigned
Dec 27, 2006
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2983182 FL Primary

Addresses

Primary practice location

5040 NW 7TH St Ste 100
Miami, FL 33126-3425

Mailing address

3601 Federal Hwy
Miami, FL 33137-3795
Phone (305) 576-6611

Other identifiers 1

IdentifierTypeStateIssuer
016455200MedicaidFL

Other names 1

  • Marlene Gaby Farfan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000582 FL Practitioner - Nurse Practitioner 0648348946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2983182FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Borinquen Health Care Center, Inc. CurrentSince Oct 12, 2015 Accepting new patients
Borinquen Health Care Center, Inc. CurrentSince Oct 12, 2015 Accepting new patients
Borinquen Health Care Center, Inc. Current Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Borinquen Health Care Center, Inc. Past Accepting new patients

Locations

10528 SW 8th St
Miami, FL 33174
Phone (305) 552-1201

3601 Federal Hwy
Miami, FL 33137

5040 NW 7th St
Miami, FL 33126
Phone (786) 541-4787

5040 NW 7th St
Ste 100
Miami, FL 33126
Phone 7878400052 ext. 262

7801 NE 2nd Ave
Miami, FL 33138
Phone (786) 235-7020

12603 NE 7th Ave
North Miami, FL 33161
Phone (305) 893-7979

708 NE 125th St
North Miami, FL 33161
Phone (786) 433-8815

Interoperability endpoints

  • Direct secure messaging: marlene.bachrach.1@8506.direct.athenahealth.com

Organizations & group practices 5

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1982769279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "786-476-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263425",
            "telephone_number": "305-576-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHRACH",
        "first_name": "MARLENE",
        "middle_name": "GABY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2983182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016455200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "FARFAN",
            "middle_name": "GABY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.