Joseph Disaverio MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOSEPH DISAVERIO MD PA

Practice address

140 Chestnut St
Suite 301
Ridgewood, NJ 07450-2599

Phone

(201) 447-2777

Fax

(201) 445-3835

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Disaverio, MD

Title

President

Phone

(201) 447-2777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1134244841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CHESTNUT ST",
            "address_2": "SUITE 301",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502599",
            "telephone_number": "201-447-2777",
            "fax_number": "201-445-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHESTNUT ST",
            "address_2": "SUITE 301",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502599",
            "telephone_number": "201-447-2777",
            "fax_number": "201-445-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DISAVERIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DISAVERIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-447-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, 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 May 22, 2008; 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.