Individual provider Active NPI

Joseph Nicholas Uricchio, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm Beach Gardens, FL
National Provider Identifier
1104882489
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0001641 Issued in FL
Practice address
5602 Pga Blvd
Suite 101
Palm Beach Gardens, FL 33418-3829
Phone
(561) 627-6444
Fax
(561) 627-3572
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO0001641 FL Primary

Addresses

Primary practice location

5602 Pga Blvd
Suite 101
Palm Beach Gardens, FL 33418-3829

Mailing address

5602 Pga Blvd
Suite 101
Palm Beach Gardens, FL 33418-3829
Phone (561) 627-6444

Other identifiers 1

IdentifierTypeStateIssuer
PO00000983OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000751 FL Practitioner - Podiatry 5294887089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0001641FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Lower Extremity Institute LLC Foot & Ankle Surgery CurrentSince Oct 1, 2022 Accepting new patients

Locations

5602 Pga Blvd
Ste 101
Palm Beach Gardens, FL 33418
Phone (561) 596-5647

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1104882489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 PGA BLVD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183829",
            "telephone_number": "561-627-6444",
            "fax_number": "561-627-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 PGA BLVD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183829",
            "telephone_number": "561-627-6444",
            "fax_number": "561-627-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URICCHIO",
        "first_name": "JOSEPH",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0001641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO00000983",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.