Individual provider Active NPI

Dominick Imundi Golio, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Jupiter, FL
National Provider Identifier
1225093149
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME0087053 Issued in FL
Practice address
10088 Indiantown Rd Ste B
Jupiter, FL 33478-4738
Phone
(561) 250-0655
Fax
(646) 350-0512
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 236097 NY
Plastic Surgery Physician 208200000X 236097 NY
Plastic and Reconstructive Surgery Physician 2086S0122X ME0087053 FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME0087053 FL Primary

Addresses

Primary practice location

10088 Indiantown Rd Ste B
Jupiter, FL 33478-4738

Mailing address

10088 Indiantown Rd Ste B
Jupiter, FL 33478-4738
Phone (561) 292-5300

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
I20230202002435 FL Practitioner - Plastic and Reconstructive Surgery 3375545478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0087053FLMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Eye Doctors, LLC Ophthalmology Current Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology Past Accepting new patients
University Group Medical Associates, P.C Ophthalmology Past Accepting new patients

Locations

10088 Indiantown Rd
Ste B
Jupiter, FL 33478
Phone (561) 203-5503

Organizations & group practices 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1225093149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10088 INDIANTOWN RD STE B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784738",
            "telephone_number": "561-292-5300",
            "fax_number": "646-350-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10088 INDIANTOWN RD STE B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784738",
            "telephone_number": "561-250-0655",
            "fax_number": "646-350-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIO",
        "first_name": "DOMINICK",
        "middle_name": "IMUNDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "236097",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "236097",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME0087053",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME0087053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.