Active NPI
Toni Marie Muzzonigro, D.O.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1306042148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS11766
- Practice address
- 7575 Dr Phillips Blvd Ste 370
Orlando, FL 32819-7220 - Phone
- (407) 377-7257
- Fax
- (407) 542-9836
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101017454 | MI | |
| Family Medicine Physician | 207Q00000X | OS016036 | PA | |
| Family Medicine Physician | 207Q00000X | OS11766 | FL | Primary |
Addresses
Primary practice location
7575 Dr Phillips Blvd Ste 370
Orlando, FL 32819-7220
Mailing address
3030 Garrett Rd
Drexel Hill, PA 19026-2217
Phone (610) 622-7933
Other practice location 1
3030 Garrett Rd
Drexel Hill, PA 19026-2217
Phone (610) 622-7933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 25, 2016 through Jul 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11766 | FL | MD | Family Medicine Physician |
| 5101017454 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1306042148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 GARRETT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190262217",
"telephone_number": "610-622-7933",
"fax_number": "610-622-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 DR PHILLIPS BLVD STE 370",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197220",
"telephone_number": "407-377-7257",
"fax_number": "407-542-9836"
}
],
"practiceLocations": [
{
"address_1": "3030 Garrett Rd",
"address_purpose": "LOCATION",
"city": "Drexel Hill",
"state": "PA",
"postal_code": "190262217",
"country_code": "US",
"telephone_number": "610-622-7933",
"fax_number": "610-622-7937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUZZONIGRO",
"first_name": "TONI",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101017454",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS016036",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS11766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.