Active NPI
Frank R Depaola Jr., D.D.S
- General Practice Dentistry
- Hoboken, NJ
National Provider Identifier
1104036441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19958
- Practice address
- 1130 Maxwell LN
Hoboken, NJ 07030-6872 - Phone
- (201) 792-9400
- Fax
- (201) 792-9716
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19958 | NJ | Primary |
Addresses
Primary practice location
1130 Maxwell LN
Hoboken, NJ 07030-6872
Mailing address
1130 Maxwell LN
Hoboken, NJ 07030-6872
Phone (201) 792-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19958 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank R. Depaola, DDS & Assoc., LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hoboken, NJ
- NPI 1841442498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1104036441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 MAXWELL LN",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306872",
"telephone_number": "201-792-9400",
"fax_number": "201-792-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 MAXWELL LN",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306872",
"telephone_number": "201-792-9400",
"fax_number": "201-792-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAOLA",
"first_name": "FRANK",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "19958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.