Active NPI
Vincent Pianelli, Mdpa
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1194979963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0014100
- Legal business name
- VINCENT PIANELLI, MDPA
- Practice address
- 935 Intracoastal Drive
Fort Lauderdale, FL 33304 - Phone
- (954) 522-8561
- Fax
- (954) 522-6602
- NPI assigned
- Nov 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George G Boctor, MD
- Title
- Owner
- Phone
- (954) 776-1180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0014100 | FL | Primary |
Addresses
Primary practice location
935 Intracoastal Drive
Fort Lauderdale, FL 33304
Mailing address
PO Box 23158
Fort Lauderdale, FL 33307-3158
Phone (954) 522-8561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048950600 | Medicaid | FL | |
| 06830 | Other | FL | MEDICARE ID |
Other names 1
- Vincent Pianelli, M.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
918 NE 26th Ave
Ft Lauderdale, FL 33304
Phone (954) 522-8561
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1023218328
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1669498697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1194979963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23158",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333073158",
"telephone_number": "954-522-8561",
"fax_number": "954-522-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 INTRACOASTAL DRIVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33304",
"telephone_number": "954-522-8561",
"fax_number": "954-522-6602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT PIANELLI, MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-06",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A",
"authorized_official_last_name": "BOCTOR",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-776-1180",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0014100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048950600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "06830",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vincent Pianelli, M.D.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vincent Pianelli, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.