Organization Active NPI

John D. Corbitt, Jr. M.D., Inc

  • Specialist
  • Lake Worth, FL
National Provider Identifier
1447458658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JOHN D. CORBITT, JR. M.D., INC
Practice address
142 JFK Drive
Lake Worth, FL 33462
Phone
(561) 439-1500
Fax
(561) 439-9902
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lori Leonetti, PA
Title
Physician Assistant
Phone
(561) 439-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

142 JFK Drive
Lake Worth, FL 33462

Mailing address

10415 Oak Meadow LN
Lake Worth, FL 33467-5470
Phone (561) 649-8629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447458658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 OAK MEADOW LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675470",
            "telephone_number": "561-649-8629",
            "fax_number": "561-439-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JFK DRIVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-439-1500",
            "fax_number": "561-439-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. CORBITT, JR. M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONETTI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "561-439-1501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.