Individual provider Active NPI

Edward D Fiore MD PA

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1043300817
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA02221200 Issued in NJ
Practice address
20 Hospital Dr
Suite 12a
Toms River, NJ 08755-6434
Phone
(732) 349-2067
Fax
(732) 341-9164
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA02221200 NJ Primary

Addresses

Primary practice location

20 Hospital Dr
Suite 12a
Toms River, NJ 08755-6434

Mailing address

20 Hospital Dr
Suite 12a
Toms River, NJ 08755-3348
Phone (732) 349-2067

Other identifiers 1

IdentifierTypeStateIssuer
1556100MedicaidNJ

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
I20200409000084 NJ Order and Referring Only - Family PracticePractitioner - Family Practice 7810987567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22212NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Braden Chiropractic Center L.L.C. Past Accepting new patients
Deborah Cardiovascular Group, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22192/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1043300817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "address_2": "SUITE 12A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553348",
            "telephone_number": "732-349-2067",
            "fax_number": "732-341-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "address_2": "SUITE 12A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-349-2067",
            "fax_number": "732-341-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORE MD PA",
        "first_name": "EDWARD",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA02221200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.