Organization Active NPI

Island Pediatrics

  • Pediatrics Physician
  • Vero Beach, FL
National Provider Identifier
1497970909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ISLAND PEDIATRICS
Practice address
960 37TH PL
Suite 101
Vero Beach, FL 32960-6586
Phone
(772) 562-5662
Fax
(772) 562-5702
NPI assigned
Apr 17, 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
Dr. Susan B O'Toole, M.D.
Title
Owner
Phone
(772) 562-5662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

960 37TH PL
Suite 101
Vero Beach, FL 32960-6586

Mailing address

960 37TH PL
Suite 101
Vero Beach, FL 32960-6586
Phone (772) 562-5662

National Provider Directory

National Provider Directory

Locations

960 37th Pl
Ste 101
Vero Beach, FL 32960
Phone (772) 562-5662

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497970909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 37TH PL",
            "address_2": "SUITE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606586",
            "telephone_number": "772-562-5662",
            "fax_number": "772-562-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 37TH PL",
            "address_2": "SUITE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606586",
            "telephone_number": "772-562-5662",
            "fax_number": "772-562-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'TOOLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-562-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, 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.