Organization Active NPI

Gerald a Cioffi DMD PA

  • General Practice Dentistry
  • Orange Park, FL
National Provider Identifier
1609809615
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 11577 Issued in FL
Legal business name
GERALD A CIOFFI DMD PA
Practice address
767 Blanding Blvd
Suite 108
Orange Park, FL 32065-8721
Phone
(904) 272-6244
Fax
(904) 276-0038
NPI assigned
Jul 10, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Gerald Alfred Cioffi II, DMDNPI 1326229329
Title
Denitst/President
Phone
(904) 272-6244

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
General Practice Dentistry 1223G0001X DN 11577 FL Primary

Addresses

Primary practice location

767 Blanding Blvd
Suite 108
Orange Park, FL 32065-8721

Mailing address

767 Blanding Blvd
Suite 108
Orange Park, FL 32065-8721
Phone (904) 272-6244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100928000962 FL Part B Supplier - Clinic/Group Practice 7911023841 Receives reassigned benefits from 1 practitioner
Practice locations: Orange Park, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1609809615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD",
            "address_2": "SUITE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658721",
            "telephone_number": "904-272-6244",
            "fax_number": "904-276-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 BLANDING BLVD",
            "address_2": "SUITE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658721",
            "telephone_number": "904-272-6244",
            "fax_number": "904-276-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD A CIOFFI DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "CIOFFI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "DENITST/PRESIDENT",
        "authorized_official_telephone_number": "904-272-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 11577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.