Organization Active NPI

Dennis Egitto MD PA

  • Internal Medicine Physician
  • N Palm Beach, FL
National Provider Identifier
1114198967
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037622 Issued in FL
Legal business name
DENNIS EGITTO MD PA
Practice address
860 US Highway 1
Ste 103
N Palm Beach, FL 33408-3825
Phone
(561) 622-4326
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dennis Egitto, M.D.NPI 1629005061
Title
Physician / Owner
Phone
(561) 622-4326

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 037622 FL Primary

Addresses

Primary practice location

860 US Highway 1
Ste 103
N Palm Beach, FL 33408-3825

Mailing address

860 US Highway 1
Ste 103
N Palm Beach, FL 33408-3879
Phone (561) 622-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000671 FL Part B Supplier - Clinic/Group Practice 1254485279 Receives reassigned benefits from 1 practitioner
Practice locations: North Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0714696Dennis J Egitto MD860 US Hwy 1 Ste 103, North Palm Beach, FL 33408Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

860 US Highway 1
Ste 103
North Palm Beach, FL 33408
Phone (305) 622-4326

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1114198967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 US HIGHWAY 1",
            "address_2": "STE 103",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334083879",
            "telephone_number": "561-622-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 US HIGHWAY 1",
            "address_2": "STE 103",
            "city": "N PALM BEACH",
            "state": "FL",
            "postal_code": "334083825",
            "telephone_number": "561-622-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS EGITTO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "EGITTO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "561-622-4326",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "037622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.