Individual provider Active NPI

Joseph Michael Mascenik, P.A.-C

  • Medical Physician Assistant
  • Hollywood, FL
National Provider Identifier
1982870606
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103525 Issued in FL
Practice address
7050 Taft St
Hollywood, FL 33024-3804
Phone
(954) 399-9014
NPI assigned
May 2, 2008
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103525 FL Primary

Addresses

Primary practice location

7050 Taft St
Hollywood, FL 33024-3804

Mailing address

12458 SW 44TH CT
Miramar, FL 33027-6004
Phone (954) 937-7887

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
I20110613000532 FL Practitioner - Physician Assistant 5193902591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Physicians, LLCGroup PAC ID 4183016991, 13 clinicians

Practice addresses (Care Compare)

6517 Taft St
Hollywood, FL 33024-4062

6517 Taft St
Suite 102
Hollywood, FL 33024-4063
Phone (954) 399-9014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Physicians, LLC PastSince Aug 25, 2025 Accepting new patients

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1982870606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12458 SW 44TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276004",
            "telephone_number": "954-937-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243804",
            "telephone_number": "954-399-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCENIK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.