Organization Active NPI

Norenberg & Associates LLC

  • Family Medicine Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1376029660
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME56786 Issued in FL
Legal business name
NORENBERG & ASSOCIATES LLC
Practice address
228 Ponte Vedra Park Dr Ste 500
Ponte Vedra Beach, FL 32082-6611
Phone
(904) 273-1180
Fax
(904) 273-6116
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Eric Norenberg, M.D.NPI 1316988173
Title
Sole Member
Phone
(904) 273-1180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME56786 FL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME99489 FL

Addresses

Primary practice location

228 Ponte Vedra Park Dr Ste 500
Ponte Vedra Beach, FL 32082-6611

Mailing address

228 Ponte Vedra Park Dr Ste 500
Ponte Vedra Beach, FL 32082-6611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1376029660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PONTE VEDRA PARK DR STE 500",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PONTE VEDRA PARK DR STE 500",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826611",
            "telephone_number": "904-273-1180",
            "fax_number": "904-273-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORENBERG & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "NORENBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "904-273-1180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56786",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.