NPIMap

Organization Active NPI

Joseph Peter Fodero MD PA

  • Plastic Surgery Physician
  • Florham Park, NJ
National Provider Identifier
1093071276
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
JOSEPH PETER FODERO MD PA
Practice address
83 Hanover Rd Ste 200
Florham Park, NJ 07932-1508
Phone
(973) 295-6565
Fax
(973) 295-6567
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dignory Sandoval
Title
Manager
Phone
(973) 295-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

83 Hanover Rd Ste 200
Florham Park, NJ 07932-1508

Mailing address

83 Hanover Rd Ste 200
Florham Park, NJ 07932-1508
Phone (973) 295-6565

Other names 1

  • Northeastern Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

83 Hanover Rd
Ste 200
Florham Park, NJ 07932
Phone (973) 295-6565

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1093071276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-295-6565",
            "fax_number": "973-295-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-295-6565",
            "fax_number": "973-295-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PETER FODERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "DIGNORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-295-6565"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeastern Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeastern Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.