Active NPI
Roy J Cacciaguida MD PA
- Exclusive Provider Organization
- West Palm Beach, FL
National Provider Identifier
1376814707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- ME019768
- Legal business name
- ROY J CACCIAGUIDA MD PA
- Practice address
- 1500 N Dixie Hwy Ste 201
201
West Palm Beach, FL 33401-2716 - Phone
- (561) 832-3004
- Fax
- (561) 833-0460
- NPI assigned
- Jan 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roy J Cacciaguida MD PA, MD PA
- Title
- Doctor/Owner
- Phone
- (561) 832-3004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | ME019768 | FL | Primary |
Addresses
Primary practice location
1500 N Dixie Hwy Ste 201
201
West Palm Beach, FL 33401-2716
Mailing address
7780 Ironhorse Blvd
West Palm Beach, FL 33412-2423
Phone (561) 832-3004
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350950400000",
"number": "1376814707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7780 IRONHORSE BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334122423",
"telephone_number": "561-832-3004",
"fax_number": "561-833-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N DIXIE HWY STE 201",
"address_2": "201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012716",
"telephone_number": "561-832-3004",
"fax_number": "561-833-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROY J CACCIAGUIDA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-17",
"last_updated": "2012-10-23",
"status": "A",
"authorized_official_last_name": "CACCIAGUIDA MD PA",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "561-832-3004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "FL",
"license": "ME019768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.