Organization Active NPI

North Point Physicians LLC

  • Family Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1740479096
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7484 Issued in FL
Legal business name
NORTH POINT PHYSICIANS LLC
Practice address
1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4400
Phone
(321) 453-1955
Fax
(321) 454-2406
NPI assigned
Oct 22, 2007
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Marlo Luciani
Title
Office Manager
Phone
(321) 453-1955

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1657502 FL
Family Medicine Physician 207Q00000X OS7484 FL Primary
Internal Medicine Physician 207R00000X OS9648 FL

Addresses

Primary practice location

1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4400

Mailing address

1395 N Courtenay Pkwy
Suite 107
Merritt Island, FL 32953-4400
Phone (321) 453-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080204000344 FL Part B Supplier - Clinic/Group Practice 8820170517 Receives reassigned benefits from 7 practitioners
Practice locations: Merritt Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1077952North Point Physicians LLC1395 N Courtenay Pkwy Ste 107, Merritt Island, FL 32953Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

1395 N Courtenay Pkwy
Ste 100
Merritt Island, FL 32953
Phone (321) 453-1955

1395 N Courtenay Pkwy
Ste 107
Merritt Island, FL 32953
Phone (321) 453-1955

Practitioners & affiliated clinicians

Practitioners 7

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1740479096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "SUITE 107",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534400",
            "telephone_number": "321-453-1955",
            "fax_number": "321-454-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "SUITE 107",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534400",
            "telephone_number": "321-453-1955",
            "fax_number": "321-454-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POINT PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "LUCIANI",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-453-1955"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1657502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7484",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.