NPIMap

Organization Active NPI

Nephrology Associates of North Central Florida P a

  • Nephrology Physician
  • Gainesville, FL
National Provider Identifier
1205933769
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF NORTH CENTRAL FLORIDA P A
Practice address
4423 NW 6TH Place
Suite a
Gainesville, FL 32607-6115
Phone
(352) 377-5600
Fax
(352) 377-0995
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Paul Alfino, MDNPI 1316044878
Title
MD
Phone
(352) 377-5600

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
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4423 NW 6TH Place
Suite a
Gainesville, FL 32607-6115

Mailing address

4423 NW 6TH Place
Suite a
Gainesville, FL 32607-6115
Phone (352) 377-5600

Other identifiers 2

IdentifierTypeStateIssuer
253258100MedicaidFL
253258101MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831001492 FL Part B Supplier - Clinic/Group Practice 9537134887 Receives reassigned benefits from 11 practitioners
Practice locations: Trenton, FL; Starke, FL; Gainesville, FL; Palatka, FL; Live Oak, FL; Lake City, FL; Dowling Park, FL; Alachua, FL

National Provider Directory

National Provider Directory

Locations

4423 NW 6th Pl
Ste A
Gainesville, FL 32607
Phone (352) 213-1250

4423 NW 6th Pl
Gainesville, FL 32607
Phone (352) 273-8129

6685 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 331-8888

1775 NW 80th Blvd
Gainesville, FL 32606
Phone (352) 332-8998

1445 SW Main Blvd
Ste 120
Lake City, FL 32025
Phone (386) 755-4990

215 SW Prosperity Pl
Ste A
Lake City, FL 32024
Phone (386) 754-1766

4251 NW American Ln
Ste 103
Lake City, FL 32055
Phone (386) 438-8780

215 SW Prosperity Pl
Ste 110
Lake City, FL 32024
Phone (386) 754-1716

1283 SW State Road 47
Ste 102
Lake City, FL 32025
Phone (386) 755-6644

10543 Suwanee Plaza Blvd
Live Oak, FL 32060
Phone (386) 364-6604

444 W Madison St
Starke, FL 32091
Phone (904) 964-8822

922 E Call St
Ste A
Starke, FL 32091

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1205933769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PLACE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076115",
            "telephone_number": "352-377-5600",
            "fax_number": "352-377-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PLACE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076115",
            "telephone_number": "352-377-5600",
            "fax_number": "352-377-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF NORTH CENTRAL FLORIDA P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "ALFINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-377-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253258100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253258101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.

Verify at the official NPI Registry.