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NORTHEAST FLORIDA CARDIOLOGY PA
NPI 1366649766
Internal Medicine - Cardiovascular Disease in Palatka, FL

Active since June 28, 2007
6710 OLD WOLF BAY RD, PALATKA, FL 32177(386) 326-1590(386) 326-1592 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeast Florida Cardiology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FLORIDA CARDIOLOGY PA (NPI 1366649766) is a healthcare organization registered as a cardiovascular disease in Palatka, Florida and active in the NPI registry since June 2007. The organization lists Alfred Thomas Romero, Director, as its authorized official.

NPPES Registry Identity

NPI1366649766
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHEAST FLORIDA CARDIOLOGY PA
Location Address6710 OLD WOLF BAY RDPalatka, FL 32177-6830
Mailing Address5000 Us Highway 17, Suite 18 #288Orange Park, FL 32003-8231 · (904) 347-9204 · Fax (386) 326-1592
Phone(386) 326-1590
Fax(386) 326-1592
Organization SubpartNo
Authorized OfficialAlfred Thomas RomeroDirector · (904) 347-9204
Enumeration DateJune 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366649766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME60213
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6710 OLD WOLF BAY RD, Palatka, FL 32177
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Florida Cardiology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Florida Cardiology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alfred Romero, M.D
Cardiovascular Disease (Cardiology)
NPI 1063597912
6710 OLD WOLF BAY RD
Palatka, FL 32177
(386) 326-1590
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Florida Cardiology PA's NPI number?

The NPI number for Northeast Florida Cardiology PA is 1366649766. It was assigned to this organization in the NPPES registry on June 28, 2007.

Where is Northeast Florida Cardiology PA located?

Northeast Florida Cardiology PA is located at 6710 Old Wolf Bay Rd, Palatka, FL 32177. The listed phone number is (386) 326-1590.

What is Northeast Florida Cardiology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Northeast Florida Cardiology PA enrolled in Medicare?

Yes. Northeast Florida Cardiology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Florida Cardiology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Northeast Florida Cardiology PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Florida Cardiology PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.