Organization Active NPI

Gabriella Assi, MD, LLC

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1235654781
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GABRIELLA ASSI, MD, LLC
Practice address
5851 Saint Augustine Rd
Jacksonville, FL 32207-8015
Phone
(904) 396-3964
NPI assigned
Aug 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Laura Windle, OFFICE MANAGER
Title
Office Manager
Phone
(904) 398-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5851 Saint Augustine Rd
Jacksonville, FL 32207-8015

Mailing address

3710 Grandy Ave
Jacksonville, FL 32207-6112
Phone (904) 398-1471

Other practice location 1

28 W Macclenny Ave
Macclenny, FL 32063-2094
Phone (904) 259-5766

National Provider Directory

National Provider Directory

Locations

5851 Saint Augustine Rd
Jacksonville, FL 32207
Phone (904) 396-3964

28 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-5766

NPI Registry JSON

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1235654781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 GRANDY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076112",
            "telephone_number": "904-398-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078015",
            "telephone_number": "904-396-3964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 W Macclenny Ave",
            "address_purpose": "LOCATION",
            "city": "Macclenny",
            "state": "FL",
            "postal_code": "320632094",
            "country_code": "US",
            "telephone_number": "904-259-5766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABRIELLA ASSI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WINDLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-398-1471",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.