Active NPI
Ashok Roychoudhury, M.D., P.a.
- Surgery Physician
- Jacksonville, FL
National Provider Identifier
1992015812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0033384
- Legal business name
- ASHOK ROYCHOUDHURY, M.D., P.A.
- Practice address
- 2032A Southside Blvd
Jacksonville, FL 32216-1944 - Phone
- (904) 724-0300
- Fax
- (904) 720-1943
- NPI assigned
- Oct 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashok Roychoudhury, M.D.
- Title
- President of Corporation
- Phone
- (904) 724-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0033384 | FL | Primary |
Addresses
Primary practice location
2032A Southside Blvd
Jacksonville, FL 32216-1944
Mailing address
2032A Southside Blvd
Jacksonville, FL 32216-1944
Phone (904) 724-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037707400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2032A Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-0300
2030-C Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-0300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288051200000",
"number": "1992015812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032A SOUTHSIDE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161944",
"telephone_number": "904-724-0300",
"fax_number": "904-720-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032A SOUTHSIDE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161944",
"telephone_number": "904-724-0300",
"fax_number": "904-720-1943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHOK ROYCHOUDHURY, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-26",
"status": "A",
"authorized_official_last_name": "ROYCHOUDHURY",
"authorized_official_first_name": "ASHOK",
"authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
"authorized_official_telephone_number": "904-724-0300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME0033384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037707400",
"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 Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.