OrganizationActive
Novocardia Jacksonville Asc LLC
NPI 1356068142 · Ambulatory Surgical Clinic/Center · Ponte Vedra, FL
Provider details
- NPI number
- 1356068142
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dan Blumenthal, Owner(617) 694-1113
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
153 Fort Wades Road
Ponte Vedra, FL 32081
Phone: (904) 423-0010
Street-level locationGet directions
Mailing address
Po Box 47170
Jacksonville, FL 32247-7170
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2022-10-24
- Certified
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.