Organization Active NPI

Ashok Roychoudhury, M.D., P.a.

  • Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1992015812
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0033384 Issued in FL
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

Updated by the provider on Oct 26, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
037707400MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.