Organization Active NPI

Geriatrics and Adult Medicine, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plantation, FL
National Provider Identifier
1669831558
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME54854 Issued in FL
Legal business name
GERIATRICS AND ADULT MEDICINE, LLC
Practice address
320 S State Road 7
Suite 300
Plantation, FL 33317-3717
Phone
(954) 451-3241
Fax
(754) 206-4332
NPI assigned
Feb 19, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Mr. Jerry Ochoa Ciocon, MDNPI 1750343679
Title
Owner
Phone
(954) 451-3241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X ME54854 FL Primary

Addresses

Primary practice location

320 S State Road 7
Suite 300
Plantation, FL 33317-3717

Mailing address

320 S State Road 7
Suite 300
Plantation, FL 33317-3717
Phone (954) 451-3241

National Provider Directory

National Provider Directory

Locations

320 S State Road 7
Ste 300
Plantation, FL 33317
Phone (954) 451-3241

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.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1669831558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S STATE ROAD 7",
            "address_2": "SUITE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173717",
            "telephone_number": "954-451-3241",
            "fax_number": "754-206-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S STATE ROAD 7",
            "address_2": "SUITE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173717",
            "telephone_number": "954-451-3241",
            "fax_number": "754-206-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRICS AND ADULT MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "CIOCON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "OCHOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-451-3241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME54854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.