Individual provider Active NPI

Joseph Angelo Ierulli, DO

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1235821430
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
UO8960 Issued in FL
Practice address
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone
(561) 955-7100
NPI assigned
May 24, 2023
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO8960 FL Primary

Addresses

Primary practice location

800 Meadows Rd
Boca Raton, FL 33486-2304

Mailing address

916 Ocaso LN Unit 201
Rockledge, FL 32955-4511
Phone (352) 552-0462

Other practice location 1

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Other practice location 2

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

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
I20230620001060 FL Order and Referring Only - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 5597123836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO8960FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1235821430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 OCASO LN UNIT 201",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554511",
            "telephone_number": "352-552-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2815 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334357969",
            "country_code": "US",
            "telephone_number": "561-737-7733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5352 Linton Blvd",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846514",
            "country_code": "US",
            "telephone_number": "561-498-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IERULLI",
        "first_name": "JOSEPH",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO8960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.