Anthony Nicosia, M.D.
Anthony Nicosia, M.D. is a Geriatric Medicine (Family Medicine) Physician in Port Saint Lucie, FL, registered under NPI 1396820668. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1502 SE HOLIDAY RD, Port Saint Lucie, FL 34952. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME91689 | FL | Family Medicine Physician |
| ME91689 | FL | Adolescent Medicine (Family Medicine)… |
| ME91689 | FL | Adult Medicine Physician |
| ME91689 | FL | Geriatric Medicine (Family Medicine)… primary |
This provider holds licence ME91689 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 6709869738
- Enrollment ID
- I20050214000456
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Geriatric Medicine covers
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NUCC Health Care Provider Taxonomy, code 207QG0300X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | ME91689 | FL | |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician Adolescent Medicine | ME91689 | FL | |
| 207QA0505X | Adult Medicine Physician Adult Medicine | ME91689 | FL | |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | ME91689 | FL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1396820668 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 26, 2006 |
| Last updated | Oct 27, 2016 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | M.D. |
| Practice address |
1502 SE HOLIDAY RD Port Saint Lucie, FL 34952 (772) 332-1757 Fax (772) 777-3044 |
| Mailing address |
PO BOX 8540 Port Saint Lucie, FL 34985 |
| Other identifiers |
0940704
· Medicaid (NJ) 278035600 · Medicaid (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 8 | 2 | 0 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 7 | 2 | 0 | 6 | 3 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.