Active NPI
Joseph Angelo Ierulli, DO
- Family Medicine Physician
- Boca Raton, FL
National Provider Identifier
1235821430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- UO8960
- Practice address
- 800 Meadows Rd
Boca Raton, FL 33486-2304 - Phone
- (561) 955-7100
- NPI assigned
- May 24, 2023
- Last updated
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230620001060 | FL | Order and Referring Only - Physical Medicine and Rehabilitation | 5597123836 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO8960 | FL | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.