Individual provider Active NPI

Basil John Paparone, MD

  • Otolaryngology Physician
  • Pomona, NJ
National Provider Identifier
1023129509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MA03368200 Issued in NJ
Practice address
72 W Jim Leeds Rd
Suite 2700
Pomona, NJ 08240
Phone
(609) 652-6880
Fax
(609) 748-0889
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MA03368200 NJ Primary

Addresses

Primary practice location

72 W Jim Leeds Rd
Suite 2700
Pomona, NJ 08240

Mailing address

PO Box 547
Suite 2700 72 W Jim Leeds Rd
Pomona, NJ 08240
Phone (609) 652-6880

Other identifiers 1

IdentifierTypeStateIssuer
1588303MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA03368200NJMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023129509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "SUITE 2700 72 W JIM LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-652-6880",
            "fax_number": "609-748-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W JIM LEEDS RD",
            "address_2": "SUITE 2700",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-652-6880",
            "fax_number": "609-748-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPARONE",
        "first_name": "BASIL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "MA03368200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.