Individual provider Active NPI

John Fulginiti III, MD

  • Family Medicine Physician
  • New Smyrna Beach, FL
National Provider Identifier
1235216888
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95369 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102853300MedicaidFL

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
I20080220000562 FL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0143304733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Jefferson Medical College of Thomas Jefferson University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatever It Takes Medical LLCGroup PAC ID 9739535741, 3 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
35072292OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC Multi-Specialty CurrentSince Jan 1, 2016 Accepting new patients
Whatever It Takes Medical, LLC Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Florida Post Acute Care Clinicians, LLC Multi-Specialty CurrentSince Jan 1, 2016 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.

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

Verify at the official NPI Registry.