Organization Active NPI

Allergy & Asthma Specialists of North Florida PA

  • Allergy & Immunology Physician
  • Orange Park, FL
National Provider Identifier
1811041015
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME86337 Issued in FL
Legal business name
ALLERGY & ASTHMA SPECIALISTS OF NORTH FLORIDA PA
Practice address
1895 Kingsley Ave
Suite 401
Orange Park, FL 32073-4466
Phone
(904) 272-5251
Fax
(904) 276-0459
NPI assigned
Jan 23, 2007
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Patrick Joseph Demarco III, MDNPI 1578598967
Title
Physician
Phone
(904) 272-5251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME25318 FL
Allergy & Immunology Physician 207K00000X ME86337 FL Primary

Addresses

Primary practice location

1895 Kingsley Ave
Suite 401
Orange Park, FL 32073-4466

Mailing address

1895 Kingsley Ave
Suite 401
Orange Park, FL 32073-4466
Phone (904) 730-4870

Other identifiers 3

IdentifierTypeStateIssuer
1730172370OtherFLINDIVIDUAL NPI
1578598967OtherFLINDIVIDUAL NPI
1174717276OtherFLNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070420000321 FL Part B Supplier - Clinic/Group Practice 8527163468 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL; Orange Park, FL

National Provider Directory

National Provider Directory

Locations

12276 San Jose Blvd
Ste 733
Jacksonville, FL 32223
Phone (904) 730-4870

2255 Dunn Ave
Ste 205
Jacksonville, FL 32218
Phone (904) 730-4870

2804 Saint Johns Bluff Rd S
Ste 202
Jacksonville, FL 32246
Phone (904) 730-4870

3636 University Blvd S
Ste A3
Jacksonville, FL 32216
Phone (904) 730-4870

1825 Kingsley Ave
#320
Orange Park, FL 32073

1825 Kingsley Ave
Ste 320
Orange Park, FL 32073
Phone (904) 730-4870

1895 Kingsley Ave
Ste 401
Orange Park, FL 32073
Phone (904) 272-5251

Interoperability endpoints

  • Direct secure messaging: patrickdemarco@aasnfpa.allscriptsdirect.net
  • Direct secure messaging: tomlupoli@aasnfpa.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1811041015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE",
            "address_2": "SUITE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734466",
            "telephone_number": "904-730-4870",
            "fax_number": "904-276-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE",
            "address_2": "SUITE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734466",
            "telephone_number": "904-272-5251",
            "fax_number": "904-276-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA SPECIALISTS OF NORTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-272-5251",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME25318",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME86337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730172370",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578598967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174717276",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.