Individual provider Active NPI

Edwin S. Pont, M.D.

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1962530626
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 25854 Issued in FL
Practice address
1400 Rockledge Blvd
Medfast Urgent Care Center
Rockledge, FL 32955-2846
Phone
(321) 735-8960
NPI assigned
Mar 2, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 25854 FL Primary

Addresses

Primary practice location

1400 Rockledge Blvd
Medfast Urgent Care Center
Rockledge, FL 32955-2846

Mailing address

93 Delannoy Ave Apt 1004
Cocoa, FL 32922-8009
Phone (321) 482-3560

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

State licenses

LicenseStateTypeSpecialty
25854FLMDDentist
ME 25854FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1962530626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 DELANNOY AVE APT 1004",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329228009",
            "telephone_number": "321-482-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROCKLEDGE BLVD",
            "address_2": "MEDFAST URGENT CARE CENTER",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552846",
            "telephone_number": "321-735-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONT",
        "first_name": "EDWIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 25854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.