Diego M Fiorentino DO Facp LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB050409 Issued in NJ

Legal business name

DIEGO M FIORENTINO DO FACP LLC

Practice address

200 South New Road
Absecon, NJ 08201

Phone

(609) 641-2062

Fax

(609) 641-4633

NPI assigned

Apr 27, 2007

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diego Michael Fiorentino, DO FACPNPI 1265449326

Title

Doctor

Phone

(609) 641-2062

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diego M Fiorentino, DO FACP

  • Internal Medicine Physician
  • Absecon, NJ
  • NPI 1265449326
  Authorized official Same address or phone

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1043430242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "08201",
            "telephone_number": "609-641-2062",
            "fax_number": "609-641-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH NEW ROAD",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "08201",
            "telephone_number": "609-641-2062",
            "fax_number": "609-641-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO M FIORENTINO DO FACP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "FIORENTINO",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-641-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB050409",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB069439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Absecon, NJ
• Providers in Absecon, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.