Organization Active NPI

Amit Chokshi MD PA

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1851579924
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME90282 Issued in FL
Legal business name
AMIT CHOKSHI MD PA
Practice address
1325 San Marco Blvd
Suite 900
Jacksonville, FL 32207-8571
Phone
(904) 346-3506
Fax
(904) 346-0712
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Amit Chokshi, MD
Title
Owner
Phone
(904) 346-3506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME90282 FL Primary

Addresses

Primary practice location

1325 San Marco Blvd
Suite 900
Jacksonville, FL 32207-8571

Mailing address

1325 San Marco Blvd
Suite 900
Jacksonville, FL 32207-8571
Phone (904) 346-3506

Other identifiers 1

IdentifierTypeStateIssuer
AJ173OtherFLMEDICARE GROUP PTAN

National Provider Directory

National Provider Directory

Locations

1325 San Marco Blvd
Ste 900
Jacksonville, FL 32207
Phone (904) 346-3506

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1851579924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078571",
            "telephone_number": "904-346-3506",
            "fax_number": "904-346-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD",
            "address_2": "SUITE 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078571",
            "telephone_number": "904-346-3506",
            "fax_number": "904-346-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIT CHOKSHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "CHOKSHI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-346-3506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME90282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "AJ173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.