Active NPI
Paul E Tocci, MD
- Urology Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME 18600
- Practice address
- 4800 NE 20TH Ter
Ste. 404
Ft Lauderdale, FL 33308-4510 - Phone
- (954) 491-4950
- Fax
- (954) 776-4437
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME 18600 | FL | Primary |
Addresses
Primary practice location
4800 NE 20TH Ter
Ste. 404
Ft Lauderdale, FL 33308-4510
Mailing address
2234 Colonial Blvd
Attn: Managed Care Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058978100 | Medicaid | FL | |
| 92242 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1649578 | Other | FL | CIGNA |
| 1000071 | Other | FL | GHI |
| 1462640 | Other | FL | GHI |
| 0854240 | Other | FL | AETNA |
| P0003183 | Other | FL | FLORIDA HEALTHCARE PLUS |
| 406343436 | Other | FL | RAILROAD MEDICARE |
| P984813 | Other | FL | FREEDOM HEALTH |
| 1193499 | Other | FL | WELLCARE |
| 208330 | Other | FL | AVMED |
| P01731856 | Other | FL | SIMPLY HEALTHCARE |
| P930642 | Other | FL | OPTIMUM - FREEDOM PRODUCT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 18600 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Costantino Tocci MD PA | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
Locations
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
2160 Colonial Blvd
Fort Myers, FL 33907
4800 NE 20th Ter
Ste 404
Ft Lauderdale, FL 33308
Phone (954) 491-4950
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Ft Lauderdale, FL
- NPI 1992994149
-
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Urology Physician
- Fort Lauderdale, FL
- NPI 1811204415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1699856211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: MANAGED CARE DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 NE 20TH TER",
"address_2": "STE. 404",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084510",
"telephone_number": "954-491-4950",
"fax_number": "954-776-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOCCI",
"first_name": "PAUL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME 18600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058978100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "92242",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1649578",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1000071",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1462640",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0854240",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTHCARE PLUS",
"identifier": "P0003183",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406343436",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P984813",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1193499",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "208330",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMPLY HEALTHCARE",
"identifier": "P01731856",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM - FREEDOM PRODUCT",
"identifier": "P930642",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.