NPIMap

Organization Active NPI

On Pointe Orthopaedics LLC

  • Pediatric Orthopaedic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1073385431
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
Legal business name
ON POINTE ORTHOPAEDICS LLC
Practice address
330 N Babcock St Ste 103
Melbourne, FL 32935-7324
Phone
(321) 321-6551
Fax
(321) 204-7064
NPI assigned
Oct 27, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Azlyn Goff, MDNPI 1962858670
Title
Authorized Official/ Owner
Phone
(321) 321-6551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Pediatric Orthopaedic Surgery Physician 207XP3100X NU Primary

Addresses

Primary practice location

330 N Babcock St Ste 103
Melbourne, FL 32935-7324

Mailing address

PO Box 53
Melbourne, FL 32902-0053
Phone (321) 321-6551

Other identifiers 1

IdentifierTypeStateIssuer
115356700MedicaidFL

National Provider Directory

National Provider Directory

Locations

330 N Babcock St
Ste 103
Melbourne, FL 32935
Phone (321) 321-6551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1073385431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329020053",
            "telephone_number": "321-321-6551",
            "fax_number": "321-204-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BABCOCK ST STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357324",
            "telephone_number": "321-321-6551",
            "fax_number": "321-204-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON POINTE ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "AZLYN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ OWNER",
        "authorized_official_telephone_number": "321-321-6551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115356700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.