Individual provider Active NPI

Joseph N. Micale, M.D.

  • Gastroenterology Physician
  • Ventnor City, NJ
National Provider Identifier
1003013046
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA01971100 Issued in NJ
Practice address
5000 Boardwalk
Apt. 914
Ventnor City, NJ 08406-2915
Phone
(201) 662-0623
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA01971100 NJ Primary

Addresses

Primary practice location

5000 Boardwalk
Apt. 914
Ventnor City, NJ 08406-2915

Mailing address

5000 Boardwalk
Apt. 914
Ventnor City, NJ 08406-2915
Phone (201) 686-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA01971100NJMDGastroenterology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1003013046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BOARDWALK",
            "address_2": "APT. 914",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062915",
            "telephone_number": "201-686-8248",
            "fax_number": "201-662-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BOARDWALK",
            "address_2": "APT. 914",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062915",
            "telephone_number": "201-662-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICALE",
        "first_name": "JOSEPH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA01971100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.