PETER J. PITOCCHI MD PA
NPI 1477803849
Internal Medicine in Orange Park, FL

Active since September 13, 2012CLIA 10D1020541 · Waiver
1555 KINGSLEY AVE, STE 501, ORANGE PARK, FL 32073(904) 264-2402(904) 264-0933 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Peter J. Pitocchi Md Pa NPPES

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

PETER J. PITOCCHI MD PA (NPI 1477803849) is a healthcare organization registered as an internal medicine in Orange Park, Florida and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Peter John Pitocchi, President, as its authorized official.

NPPES Registry Identity

NPI1477803849
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePETER J. PITOCCHI MD PA
Location Address1555 KINGSLEY AVE, STE 501Orange Park, FL 32073-4560
Mailing Address1555 Kingsley Ave, Ste 501Orange Park, FL 32073-4560 · (904) 264-2402 · Fax (904) 264-0933
Fax(904) 264-0933
Organization SubpartNo
Authorized OfficialPeter John PitocchiPresident · (904) 264-2402
Enumeration DateSeptember 13, 2012
Last NPPES UpdateOctober 18, 2012
NPI 1477803849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME0062014
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1555 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 4

Medicare PINGN133AFL
Medicaid3701689000FL
Other110168454FL · Rr Mcare
Medicare UPINE44333FL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1020541

Peter Pitocchi MD PA · Orange Park, FL
Active · expires Dec 22, 2027
CLIA Number10D1020541
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorPeter J. Pitocchi
Laboratory Phone(904) 264-2402
Laboratory LocationPeter Pitocchi MD PA1555 Kingsley Ave Ste 501, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Physical Therapist
1555 KINGSLEY AVE
ORANGE PARK, FL 32073
Psychiatry & Neurology (Psychiatry)
1555 KINGSLEY AVE, SUITE 101
ORANGE PARK, FL 32073
Pediatrics
1555 KINGSLEY AVE, SUITE 601
ORANGE PARK, FL 32073
Pediatrics
1555 KINGSLEY AVE, SUITE 601
ORANGE PARK, FL 32073
Surgery
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073
Nurse Practitioner (Family)
1555 KINGSLEY AVE, SUITE 201
ORANGE PARK, FL 32073
Emergency Medicine (Emergency Medical Services)
1555 KINGSLEY AVE, SUITE 503
ORANGE PARK, FL 32073

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 Peter J. Pitocchi MD PA's NPI number?

The NPI number for Peter J. Pitocchi MD PA is 1477803849. It was assigned to this organization in the NPPES registry on September 13, 2012.

Where is Peter J. Pitocchi MD PA located?

Peter J. Pitocchi MD PA is located at 1555 Kingsley Ave Ste 501, Orange Park, FL 32073. The listed phone number is (904) 264-2402.

What is Peter J. Pitocchi MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Peter J. Pitocchi MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1020541) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peter J. Pitocchi MD PA was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.