Ridgewood Physicians, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIDGEWOOD PHYSICIANS, PLLC

Practice address

2725 Northampton Ave
Orlando, FL 32828-7910

Phone

(689) 253-2379

Fax

(731) 660-2121

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Kamaldeen Agoro, MDNPI 1528325644

Title

Owner

Phone

(689) 253-2379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, FL2 enrollments

Enrollment records 2

Practitioners 1

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

• Kamaldeen Agoro, M.D

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1528325644

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1053936344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 NORTHAMPTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287910",
            "telephone_number": "689-253-2379",
            "fax_number": "731-660-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 NORTHAMPTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287910",
            "telephone_number": "689-253-2379",
            "fax_number": "731-660-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "AGORO",
        "authorized_official_first_name": "KAMALDEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "689-253-2379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.