Individual provider Active NPI

Joseph Magioncalda

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1194134817
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120027 Issued in FL
Practice address
8000 State Road 64 E
Bradenton, FL 34212-7703
Phone
(941) 792-1404
Fax
(941) 761-0712
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120027 FL Primary

Addresses

Primary practice location

8000 State Road 64 E
Bradenton, FL 34212-7703

Mailing address

8000 State Road 64 E
Bradenton, FL 34212-7703
Phone (941) 792-1404

Other practice location 1

8340 Lakewood Ranch Blvd Ste 300
Lakewood Ranch, FL 34202-5046
Phone (941) 792-1404

Other practice location 2

6202 17th Ave W
Bradenton, FL 34209-7838
Phone (941) 792-1404

Other identifiers 1

IdentifierTypeStateIssuer
G6X1FOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160527000006 NY Practitioner - Physician Assistant 1254621543 Reassigns benefits to 1 organization
I20250731002524 FL Practitioner - Physician Assistant 1254621543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Orthopedics and Sports Medicine of Southwest Florida PAGroup PAC ID 3274504386, 62 clinicians

Practice addresses (Care Compare)

6202 17TH Ave W
Bradenton, FL 34209-7838
Phone (941) 792-1404

8340 Lakewood Ranch Blvd
Suite 300
Lakewood Ranch, FL 34202-5046
Phone (941) 792-1404

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017816NYMDMental Health Counselor
PA9120027FLMDPhysician Assistant

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Dec 7, 2021 Accepting new patients
Coastal Orthopedics & Sports Medicine of Southwest Florida PA CurrentSince Aug 18, 2025 Accepting new patients
True North Medical Group PC Physician Assistant CurrentSince Dec 7, 2021 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

6202 17th Ave W
Bradenton, FL 34209

8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315

8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200

1101 Stewart Ave
Garden City, NY 11530
Phone (516) 794-2835

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1194134817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 STATE ROAD 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342127703",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 STATE ROAD 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342127703",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025046",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6202 17th Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342097838",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGIONCALDA",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G6X1F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.