Organization Active NPI

Perrone and Goggin DPM LC

Doing business as Atlantic Podiatry

  • Podiatrist
  • Fort Pierce, FL
National Provider Identifier
1669574521
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PERRONE AND GOGGIN DPM LC
Doing business as
Atlantic Podiatry
Practice address
2209 S 25TH St
Fort Pierce, FL 34947-4796
Phone
(772) 461-4400
Fax
(772) 461-4409
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. John P Goggin, DPMNPI 1740238351
Title
Partner
Phone
(772) 461-4400

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2209 S 25TH St
Fort Pierce, FL 34947-4796

Mailing address

2209 S 25TH St
Fort Pierce, FL 34947-4796
Phone (772) 461-4400

Other identifiers 1

IdentifierTypeStateIssuer
340558300MedicaidFL

Other names 1

  • ATLANTIC PODIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051122000010 FL Part B Supplier - Clinic/Group Practice 6305865122 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL
O20100930081295 FL DME Supplier - Physician - Podiatry 6305865122 Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

2209 S 25th St
Fort Pierce, FL 34947
Phone (772) 461-4400

1631 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (561) 857-7777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1669574521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-461-4400",
            "fax_number": "772-461-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-461-4400",
            "fax_number": "772-461-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRONE AND GOGGIN DPM LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "GOGGIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "772-461-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340558300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.