MARK JAFFE M D P A NPI 1962410381

NPI Information

  • NPI: 1962410381
  • Provider Name: MARK JAFFE M D P A
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1 SW 129TH AVE
    PEMBROKE PINES, FL
    ZIP 33027
  • Phone: (954) 441-9995

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NPI Details

MARK JAFFE M D P A is a specialist in Pembroke Pines, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARK JAFFE M D P A NPI is 1962410381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 SW 129TH AVE
PEMBROKE PINES, FL
ZIP 33027-761
Phone: (954) 441-9995
Fax: (954) 441-9033

The provider's authorized official is Mark Jaffe .
The authorized official title is President and has the following contact phone number (954) 441-9995.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME0068879FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
128291MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2G22211MEDICARE UPINFLORIDA
3FR664AOTHERFLORIDAMEDICARE PTAN
4379137800MEDICAIDFLORIDA
5FR664AMEDICARE OSCAR/CERTIFICATIONFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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