Jody Christopher Digiacomo, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA053971 Issued in NJ

Practice address

1001 W Main St
Suite a
Freehold, NJ 07728-2579

Phone

(732) 845-5001

Fax

(732) 303-0114

NPI assigned

Jun 28, 2006

Last updated

Mar 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY, PA3 enrollments

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 3

Specialty

General Surgery

Education

Temple University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians

Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Nassau Health Care Corporation

  dba Nassau Department of Psychiatry and Psychology, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment Care Compare group NPD
• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Surgical Associates Holme

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361
  Medicare reassignment Care Compare group NPD
• Integrated Wound Specialists of Elizabeth, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Elizabeth, NJ
  • NPI 1437478898
  Medicare reassignment NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1396760989
  NPD
• Nassau Health Care Corporation

  dba NUMC Department of Family Medicine, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD
• Nassau Health Care Corporation

  dba Nassau University Medical Center

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1801857172
  NPD (past)
• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Trauma Service Langhorne

  • Trauma Surgery Physician
  • Langhorne, PA
  • NPI 1093771271
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1063449551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-845-5001",
            "fax_number": "732-303-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "SUITE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-845-5001",
            "fax_number": "732-303-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIACOMO",
        "first_name": "JODY",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA053971",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "MA053971",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "MA053971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5164001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Heart Center of Central NJ
• Dialysis Clinic Inc.
• Nichole Diamond, LPC
• Allison Dicaro
• Danielle Difilippo
• Tyler J Digiovanni, DC
• Kathleen Dilorenzo, MS CCC-SLP
• Alicia Dilts, LPC
• Dorea Dimaggio, PA-C
• Michael L Dimino, MD

• Surgery Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.