Genetics and Metabolism LLC

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

Legal business name

GENETICS AND METABOLISM LLC

Doing business as

Genetics and Metabolism

Practice address

1110 A1A N Ste 101
Ponte Vedra Beach, FL 32082-4071

Phone

(904) 673-0044

Fax

(904) 673-1064

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Anthony Perszyk, MD

Title

Owner Authorized Official

Phone

(904) 673-5895

Specialties & licenses 2

Addresses

Other names 1

• Genetics and Metabolism Doing business as

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1124764113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BARTRAM OAKS WALK UNIT 600849",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322607734",
            "telephone_number": "904-673-0044",
            "fax_number": "906-673-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 A1A N STE 101",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824071",
            "telephone_number": "904-673-0044",
            "fax_number": "904-673-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Spanish Bay Drive",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320923222",
            "country_code": "US",
            "telephone_number": "904-673-0044",
            "fax_number": "906-673-1064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Spanish Bay Dr",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923222",
            "country_code": "US",
            "telephone_number": "904-834-5175",
            "fax_number": "904-673-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENETICS AND METABOLISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "PERSZYK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-673-5895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetics and Metabolism",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genetics and Metabolism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Genetics (M.D.) Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Clinical Genetics (M.D.) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.