OrganizationActive
Dockyard Emergency Physicians, LLC
NPI 1154694636 · Emergency Medicine Physician · Port St Lucie, FL
Provider details
- NPI number
- 1154694636
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Kondas, Officer(973) 251-1132
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 Se Tiffany Ave
Port St Lucie, FL 34952-7521
Phone: (772) 335-4000
Street-level locationGet directions
Mailing address
Po Box 37855
Philadelphia, PA 19101-0155
Registry dates
- Enumerated
- 2012-02-15
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.