Individual provider Active NPI

Joseph N Dibello Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Huntingdon Valley, PA
National Provider Identifier
1114984085
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD045469L Issued in PA
Practice address
2361 Huntingdon Pike
Huntingdon Valley, PA 19006-6128
Phone
(215) 947-4990
Fax
(215) 947-7660
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD045469L PA Primary

Addresses

Primary practice location

2361 Huntingdon Pike
Huntingdon Valley, PA 19006-6128

Mailing address

2361 Huntingdon Pike
Suite 1
Huntingdon Valley, PA 19006-6128
Phone (215) 947-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000568 PA Practitioner - Plastic and Reconstructive Surgery 1658413786 Practice locations: Huntingdon Valley, PA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2361 Huntingdon Pike
Suite 1
Huntingdon Valley, PA 19006-6128
Phone (215) 947-4990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD045469LPAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dibello Plastic Surgery Plastic and Reconstructive Surgery Current Accepting new patients

Locations

2361 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 947-4990

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1114984085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 HUNTINGDON PIKE",
            "address_2": "SUITE 1",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066128",
            "telephone_number": "215-947-4990",
            "fax_number": "215-947-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 HUNTINGDON PIKE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066128",
            "telephone_number": "215-947-4990",
            "fax_number": "215-947-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBELLO",
        "first_name": "JOSEPH",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD045469L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.