NPIMap

Organization Active NPI

Neo Doc of SWFL PA

  • Pediatric Sleep Medicine Physician
  • North Port, FL
National Provider Identifier
1396066940
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
Legal business name
NEO DOC OF SWFL PA
Practice address
1181 S Sumter Blvd
#311
North Port, FL 34287-2335
Phone
(732) 218-6005
NPI assigned
Jun 17, 2010
Last updated
Jun 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Jignesh B Patel, MD, FAAPNPI 1003082280
Title
President
Phone
(732) 309-1292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 101565 FL
Neonatal-Perinatal Medicine Physician 2080N0001X ME 101565 FL
Pediatric Sleep Medicine Physician 2080S0012X NU Primary

Addresses

Primary practice location

1181 S Sumter Blvd
#311
North Port, FL 34287-2335

Mailing address

1181 S Sumter Blvd
#311
North Port, FL 34287-2335
Phone (732) 218-6005

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1396066940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 S SUMTER BLVD",
            "address_2": "#311",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872335",
            "telephone_number": "732-218-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 S SUMTER BLVD",
            "address_2": "#311",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872335",
            "telephone_number": "732-218-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO DOC OF SWFL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-309-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 101565",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME 101565",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.