Individual provider Active NPI

Mary Jo Paradiso, M.D

  • Infectious Disease Physician
  • Edison, NJ
National Provider Identifier
1033292867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA056530 Issued in NJ
Practice address
113 James St
Edison, NJ 08820-3946
Phone
(732) 906-1900
Fax
(732) 906-6666
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

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
Infectious Disease Physician 207RI0200X MA056530 NJ Primary

Addresses

Primary practice location

113 James St
Edison, NJ 08820-3946

Mailing address

113 James St
Edison, NJ 08820-3946
Phone (732) 906-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000711 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 3779766639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA056530NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Infectious Disease Associates, P.a. Infectious Disease PastSince Sep 13, 1991 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033292867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203946",
            "telephone_number": "732-906-1900",
            "fax_number": "732-906-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203946",
            "telephone_number": "732-906-1900",
            "fax_number": "732-906-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISO",
        "first_name": "MARY JO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA056530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.