Active NPI
Joseph A Lonzetta Jr., DO
- Internal Medicine Physician
- Fernandina Beach, FL
National Provider Identifier
1013921980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS8577
- Practice address
- 1987 S 8TH St
Fernandina Beach, FL 32034-3071 - Phone
- (904) 624-7003
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS8577 | FL | Primary |
Addresses
Primary practice location
1987 S 8TH St
Fernandina Beach, FL 32034-3071
Mailing address
820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8210
Phone (904) 348-0974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263152100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS8577 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Internal Medicine | Past | Accepting new patients |
| Amelia Express Care, LLC | Past | Accepting new patients | |
| I T Health Services Inc | Past | Accepting new patients | |
| Baptist Primary Care Inc | Past | Accepting new patients | |
| Holy Cross Hospital Inc | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Fernandina Beach, FL
- NPI 1245611037
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Internal Medicine
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Infusion Therapy Clinic/Center
- North Miami, FL
- NPI 1013046291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1013921980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR",
"address_2": "SUITE 304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078210",
"telephone_number": "904-348-0974",
"fax_number": "904-348-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1987 S 8TH ST",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320343071",
"telephone_number": "904-624-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONZETTA",
"first_name": "JOSEPH",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS8577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263152100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.