Active NPI
Giovanni Lupo, Inc
- Geriatric Medicine (Internal Medicine) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME76857
- Legal business name
- GIOVANNI LUPO, INC
- Practice address
- 1032 Fieldstone Dr
Melbourne, FL 32940-1633 - Phone
- (321) 435-3500
- Fax
- (321) 752-4489
- NPI assigned
- Oct 8, 2014
- Last updated
- Oct 8, 2014
- 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
- Giovanni Lupo, MD
- Title
- Owner
- Phone
- (321) 259-6478
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME76857 | FL | Primary |
Addresses
Primary practice location
1032 Fieldstone Dr
Melbourne, FL 32940-1633
Mailing address
1032 Fieldstone Dr
Melbourne, FL 32940-1633
Phone (321) 435-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1420 Oak St
#102
Melbourne, FL 32901
Phone (321) 723-3215
1765 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 733-7111
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.
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1255394060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1497158125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 FIELDSTONE DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401633",
"telephone_number": "321-435-3500",
"fax_number": "321-752-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 FIELDSTONE DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401633",
"telephone_number": "321-435-3500",
"fax_number": "321-752-4489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIOVANNI LUPO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-08",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "LUPO",
"authorized_official_first_name": "GIOVANNI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-259-6478",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME76857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.