Organization Active NPI

S. Jerry Pinto, Inc.

  • Pulmonary Disease Physician
  • Melbourne, FL
National Provider Identifier
1790972271
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME77004 Issued in FL
Legal business name
S. JERRY PINTO, INC.
Practice address
1269 Foxridge PL
Melbourne, FL 32940-6427
Phone
(321) 960-6925
Fax
(321) 989-0246
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Simmy Jerry Pinto, MD
Title
Owner
Phone
(321) 960-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME77004 FL Primary

Addresses

Primary practice location

1269 Foxridge PL
Melbourne, FL 32940-6427

Mailing address

1269 Foxridge PL
Melbourne, FL 32940-6427
Phone (321) 960-6925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1790972271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 FOXRIDGE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406427",
            "telephone_number": "321-960-6925",
            "fax_number": "321-989-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 FOXRIDGE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406427",
            "telephone_number": "321-960-6925",
            "fax_number": "321-989-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JERRY PINTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "SIMMY",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-960-6925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME77004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.