Active NPI
Joseph Puleo, D.P.M
- Podiatrist
- Fort Lauderdale, FL
National Provider Identifier
1093763013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2176
- Practice address
- 1744 NE 9TH St
Fort Lauderdale, FL 33304-4443 - Phone
- (954) 439-5704
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2176 | FL | Primary |
Addresses
Primary practice location
1744 NE 9TH St
Fort Lauderdale, FL 33304-4443
Mailing address
730 NW 44TH Ter
#103
Deerfield Beach, FL 33442-9280
Phone (954) 439-5704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390301000 | 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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1093763013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 NW 44TH TER",
"address_2": "#103",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334429280",
"telephone_number": "954-439-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 NE 9TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333044443",
"telephone_number": "954-439-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390301000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.