North East Florida Endocrine and Diabetes Association

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5497720001 Issued in FL

Legal business name

NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION

Practice address

1635 Eagle Harbor Pkwy Ste 5
Orange Park, FL 32003-4827

Phone

(904) 384-2240

Fax

(904) 385-7777

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Schoen, DPM

Title

DPM

Phone

(904) 384-2240

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1447520747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 EAGLE HARBOR PKWY STE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034827",
            "telephone_number": "904-384-2240",
            "fax_number": "904-385-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 EAGLE HARBOR PKWY STE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034827",
            "telephone_number": "904-384-2240",
            "fax_number": "904-385-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "904-384-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "5497720001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37460620",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Danielle Nix, M.A, BCBA
• Jessica P Nixon
• Christopher Charles Noe
• April Noisette
• Toni Howard Norman
• North Florida Amputation Prevention Center, LLC
• North Florida Chiropractic Injury Center PA
• North Florida Ear, Nose and Throat
• North Florida Gastroenterology LLC
• North Florida Health Care Inc

• Customized Equipment (DME) in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.