Active NPI
Edward D Fiore MD PA
- Family Medicine Physician
- Toms River, NJ
National Provider Identifier
1043300817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA02221200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1556100 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409000084 | NJ | Order and Referring Only - Family Practice | 7810987567 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22212 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braden Chiropractic Center L.L.C. | Past | Accepting new patients | |
| Deborah Cardiovascular Group, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
- 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.
-
- Chiropractor
- Toms River, NJ
- NPI 1740315597
-
- Specialist
- Browns Mills, NJ
- NPI 1821041732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.