Individual provider Active NPI

Jose Rafael Toledo, MD

  • Neurology Physician
  • Stuart, FL
National Provider Identifier
1215049200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0060437 Issued in FL
Practice address
827 SE 5TH St
Stuart, FL 34994-2401
Phone
(772) 223-5345
Fax
(772) 223-0960
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0060437 FL Primary

Addresses

Primary practice location

827 SE 5TH St
Stuart, FL 34994-2401

Mailing address

827 E 5TH St
Stuart, FL 34994
Phone (772) 223-5345

Other identifiers 1

IdentifierTypeStateIssuer
055716100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000364 FL Practitioner - PsychiatryPractitioner - NeurologyPractitioner - NephrologyPractitioner - Addiction Medicine 4082744396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0060437FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Clinic, LLC CurrentSince Apr 14, 2016 Accepting new patients
Aspen Behavioral Health CurrentSince Jul 25, 2024 Accepting new patients
New Life Addiction Treatment Center Past Accepting new patients
Archstone Behavioral Health LLC Past Accepting new patients
Henry Calas M.D. P.a. Neurology PastSince Jan 14, 2010 Accepting new patients

Locations

5481 NW East Torino Pkwy
Port St Lucie, FL 34986
Phone (772) 281-2626

2349 SW Cary St
Port St Lucie, FL 34984
Phone (772) 281-2626

900 Osceola Dr
Ste 200
West Palm Beach, FL 33409
Phone (561) 331-8701

900 Osceola Dr
Ste 108
West Palm Beach, FL 33409
Phone (607) 321-7480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJGJCA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215049200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-223-5345",
            "fax_number": "772-223-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 SE 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942401",
            "telephone_number": "772-223-5345",
            "fax_number": "772-223-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0060437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055716100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.