NPIMap

Organization Active NPI

Dimarino-Kroop-Prieto Gastro Intestinal Associates PA

  • Specialist
  • Woodbury, NJ
National Provider Identifier
1104888080
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIMARINO-KROOP-PRIETO GASTRO INTESTINAL ASSOCIATES PA
Practice address
26 East Red Bank Avenue
Woodbury, NJ 08096-1630
Phone
(856) 848-4464
Fax
(856) 848-7023
NPI assigned
Apr 5, 2006
Organization subpart
Yes
Parent organization
DIMARINO-KROOP-PRIETO GASTRO INTESTINAL ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Anthony J Dimarino Jr., MDNPI 1780643775
Title
President
Phone
(856) 848-4464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

26 East Red Bank Avenue
Woodbury, NJ 08096-1630

Mailing address

26 East Red Bank Avenue
Woodbury, NJ 08096-1630
Phone (856) 848-4464

Other names 1

  • WOODBURY ANESTHESIA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220001101 NJ Part B Supplier - Clinic/Group Practice 8325933906 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mullica Hill, NJ; Woodbury, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robert M Coben3 organizations share this tax ID, including this one
Part of
Robert M Coben

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

17 W Red Bank Ave
Ste 302
Woodbury, NJ 08096
Phone (856) 848-4464

132 S 10th St
#480
Philadelphia, PA 19107
Phone (215) 955-3947

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1104888080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 EAST RED BANK AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961630",
            "telephone_number": "856-848-4464",
            "fax_number": "856-848-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 EAST RED BANK AVENUE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961630",
            "telephone_number": "856-848-4464",
            "fax_number": "856-848-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMARINO-KROOP-PRIETO GASTRO INTESTINAL ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIMARINO-KROOP-PRIETO GASTRO INTESTINAL ASSOCIATES PA",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "DIMARINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-848-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODBURY ANESTHESIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.