John J Bomalaski MD PA

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

JOHN J BOMALASKI MD PA

Practice address

7000 Spyglass CT
Suite 300
Melbourne, FL 32940-8288

Phone

(321) 752-0944

Fax

(321) 752-0756

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

John J Bomalaski, MDNPI 1942273958

Title

Owner

Phone

(321) 434-4656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John J Bomalaski

  • Gynecologic Oncology Physician
  • Lexington, KY
  • NPI 1942273958
  NPD (past) Authorized official
• Alice Spinelli, APRN

  • Nurse Practitioner
  • Melbourne, FL
  • NPI 1063452662
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174596167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560730",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560730",
            "telephone_number": "321-752-0944",
            "fax_number": "321-752-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT",
            "address_2": "SUITE 300",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408288",
            "telephone_number": "321-752-0944",
            "fax_number": "321-752-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J BOMALASKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOMALASKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-434-4656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milan Jockovich, M.D.
• Joe M Creel, DDS, PA
• Joel Scalera DDS PA
• Karl David Johannessen, OD
• John D Mackenney PA
• John J Marcin & Associates PA
• Haig Malcom John, DC
• McKenna E Johns
• Nicole Johns
• Zachary Johnsen, LCSW

• Gynecologic Oncology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.