Active NPI
John Fulginiti III, MD
- Family Medicine Physician
- New Smyrna Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME95369
- Practice address
- 807 E 7TH Ave
New Smyrna Beach, FL 32169-3109 - Phone
- (386) 259-8803
- Fax
- (386) 281-9981
- NPI assigned
- Nov 1, 2006
- Last updated
- Dec 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME95369 | FL | Primary |
| Surgery Physician | 208600000X | ME95369 | FL | |
| Surgery Physician | 208600000X | 35072292 | OH | |
| General Practice Physician | 208D00000X | ME95369 | FL |
Addresses
Primary practice location
807 E 7TH Ave
New Smyrna Beach, FL 32169-3109
Mailing address
PO Box 1268
New Smyrna Beach, FL 32170-1268
Phone (386) 259-8803
Other practice location 1
3601 SW 160th Ave
Suite 250
Miramar, FL 33027-6308
Phone (877) 866-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102853300 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
807 E 7TH Ave
New Smyrna Beach, FL 32169-3109
Phone (386) 259-8803
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 86.19
- Improvement activities
- 40
- Cost
- 67.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35072292 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Post Acute Care Clinicians, LLC | Multi-Specialty | Current | Accepting new patients |
| Whatever It Takes Medical, LLC | Multi-Specialty | Current | Accepting new patients |
| Florida Post Acute Care Clinicians, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111
5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385
715 E Dixie Ave
Leesburg, FL 34748
Phone (352) 326-7999
3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- New Smyrna Beach, FL
- NPI 1477232171
Multi-Specialty
-
- Family Medicine Physician
- Miramar, FL
- NPI 1811398811
Multi-Specialty
-
- Family Medicine Physician
- Miramar, FL
- NPI 1043760473
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1235216888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1268",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321701268",
"telephone_number": "386-259-8803",
"fax_number": "386-281-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 E 7TH AVE",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321693109",
"telephone_number": "386-259-8803",
"fax_number": "386-281-9981"
}
],
"practiceLocations": [
{
"address_1": "3601 SW 160th Ave",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330276308",
"country_code": "US",
"telephone_number": "877-866-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULGINITI",
"first_name": "JOHN",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME95369",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME95369",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35072292",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME95369",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102853300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.