ASHLEY EAST PA – NPI #1205794443
Internal Medicine

An internist who has 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.

Health Care Provider Taxonomy Code for Internal Medicine

ASHLEY EAST PA is a provider located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1205794443 to ASHLEY EAST PA on January 15, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Apr 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASHLEY EAST PA below.

NPI Profile for
ASHLEY EAST PA

NPI Number
1205794443
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASHLEY EAST PA
Primary location
1617 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952-5428
Phone: (772) 203-8811 Fax:
Mailing address
1460 SE PORTILLO RD
PORT SAINT LUCIE, FL 34952-4984
Phone: (772) 203-8811 Fax: (877) 860-2786
Organization Subpart
No
Authorized Official
ASHLEY EAST
OWNER
Phone: (772) 203-8811
Updated
Certification Date
Apr 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.