Organization Active NPI

Gennaro Sagliocca, MD, PA

  • Nephrology Physician
  • West Palm Beach, FL
National Provider Identifier
1437429321
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0053712 Issued in FL
Legal business name
GENNARO SAGLIOCCA, MD, PA
Practice address
2000 Continental Drive
Suite B
West Palm Beach, FL 33340-3207
Phone
(561) 845-2680
Fax
(561) 845-2637
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Gennaro Sagliocca, MDNPI 1720037054
Title
Owner
Phone
(561) 845-2680

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME0053712 FL Primary

Addresses

Primary practice location

2000 Continental Drive
Suite B
West Palm Beach, FL 33340-3207

Mailing address

2000 Continental Dr
Suite B
West Palm Beach, FL 33407-3207
Phone (561) 845-2680

Other identifiers 1

IdentifierTypeStateIssuer
064666100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000443 FL Part B Supplier - Clinic/Group Practice 5193992311 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the 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": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1437429321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CONTINENTAL DR",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073207",
            "telephone_number": "561-845-2680",
            "fax_number": "561-845-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CONTINENTAL DRIVE",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "333403207",
            "telephone_number": "561-845-2680",
            "fax_number": "561-845-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNARO SAGLIOCCA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SAGLIOCCA",
        "authorized_official_first_name": "GENNARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-845-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0053712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064666100",
            "state": "FL"
        }
    ],
    "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 Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.