Individual provider Active NPI

John A Puglisi, MD

  • Ophthalmology Physician
  • North Miami Beach, FL
National Provider Identifier
1932196292
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME25860 Issued in FL
Practice address
182 NE 168TH St
North Miami Beach, FL 33162-3412
Phone
(305) 651-4300
Fax
(305) 651-0701
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME25860 FL Primary

Addresses

Primary practice location

182 NE 168TH St
North Miami Beach, FL 33162-3412

Mailing address

182 NE 168TH St
North Miami Beach, FL 33162-3412
Phone (305) 653-6500

Other identifiers 1

IdentifierTypeStateIssuer
065425600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000935 FL Practitioner - Ophthalmology 9537149737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Macula Specialists of Miami LLCGroup PAC ID 7012156144, 24 clinicians

Practice addresses (Care Compare)

182 NE 168TH St
N Miami Beach, FL 33162-3412
Phone (305) 651-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Macula Specialists of Miami LLC Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients

Locations

351 NW 42nd Ave
Ste 501
Miami, FL 33126
Phone (305) 631-8300

1190 NW 95th St
Ste 201
Miami, FL 33150
Phone (305) 651-4300

182 NE 168th St
North Miami Beach, FL 33162
Phone (305) 651-4300

184 NE 168th St
North Miami Beach, FL 33162
Phone (305) 655-0411

9015 Pines Blvd
Pembroke Pines, FL 33024

601 N Flamingo Rd
Ste 315
Pembroke Pnes, FL 33028
Phone (954) 436-2100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1932196292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623412",
            "telephone_number": "305-653-6500",
            "fax_number": "305-651-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623412",
            "telephone_number": "305-651-4300",
            "fax_number": "305-651-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLISI",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME25860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065425600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.