Individual provider Active NPI

Gerald Apolinar P Floreza

  • Psychiatry Physician
  • Portland, ME
National Provider Identifier
1740399641
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD15081 Issued in ME
Practice address
216 Vaughan St
Portland, ME 04102-3204
Phone
(207) 662-2221
Fax
(207) 662-6327
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD15081 ME Primary

Addresses

Primary practice location

216 Vaughan St
Portland, ME 04102-3204

Mailing address

216 Vaughan St
Portland, ME 04102-3204
Phone (207) 662-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140521000676 PA Practitioner - Psychiatry 6204876774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony Wellness Group IncGroup PAC ID 6800159286, 8 clinicians

Practice addresses (Care Compare)

3803 N 5TH St
Philadelphia, PA 19140-3337
Phone 21553924733337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD15081MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Wellness Group Inc CurrentSince May 24, 2023 Accepting new patients
Northeast Community Mental Health Center, Inc. PastSince May 24, 2023 Accepting new patients

Locations

3803 N 5th St
Philadelphia, PA 19140
Phone (215) 229-4357

9150 Marshall St
Ste 14
Philadelphia, PA 19114
Phone (215) 539-2470

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1740399641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 VAUGHAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023204",
            "telephone_number": "207-662-2221",
            "fax_number": "207-662-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 VAUGHAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023204",
            "telephone_number": "207-662-2221",
            "fax_number": "207-662-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREZA",
        "first_name": "GERALD",
        "middle_name": "APOLINAR P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD15081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.