Active NPI
John P Nardandrea Jr., MD
- Family Medicine Physician
- Ocala, FL
National Provider Identifier
1871572016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME48863
- Practice address
- 2415 SE 17TH St
Ocala, FL 34471-2618 - Phone
- (352) 732-5365
- Fax
- (352) 732-5372
- NPI assigned
- Jan 16, 2006
- Last updated
- Jan 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME48863 | FL | Primary |
Addresses
Primary practice location
2415 SE 17TH St
Ocala, FL 34471-2618
Mailing address
2405 SE 17TH St
Suite 201
Ocala, FL 34471-9192
Phone (352) 690-2171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043720400 | Medicaid | FL | |
| 02081 | Other | FL | BCBS |
| 080085451 | Other | FL | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JOHN.NARDANDREA@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- john.nardandrea@hca5.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1871572016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 SE 17TH ST",
"address_2": "SUITE 201",
"city": "OCALA",
"state": "FL",
"postal_code": "344719192",
"telephone_number": "352-690-2171",
"fax_number": "352-690-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344712618",
"telephone_number": "352-732-5365",
"fax_number": "352-732-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDANDREA",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME48863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043720400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02081",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080085451",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JOHN.NARDANDREA@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2415 SE 17th St",
"city": "Ocala",
"state": "FL",
"country_code": "US",
"postal_code": "344712618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.