Vincent Decataldo, BOCPO,NJ LICENCE PO

Primary specialty

SpecialistTaxonomy code 174400000X

License

45PO00000600 Issued in NJ

Practice address

1025 W Saint Georges Ave
Linden, NJ 07036-6134

Phone

(908) 925-0616

NPI assigned

Oct 25, 2013

Last updated

Oct 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roe LLC

  • Prosthetic/Orthotic Supplier
  • Linden, NJ
  • NPI 1073856258
  NPD (past) Authorized official

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1184052300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366134",
            "telephone_number": "908-925-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366134",
            "telephone_number": "908-925-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECATALDO",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "BOCPO,NJ LICENCE PO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "45PO00000600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie E Darius
• Jancy A Davis, PTA
• Michael A Davis, DPT
• Shawn A. Davis, DPT
• Maria Richelle Soriano De Jesus, P.T.
• Anthony Brian Del Popolo, DPT
• Eric M Deutchman, DPM
• Developmental Disabilities Association NJ Inc.
• Julio Diaz, M.D.
• Doctors Care Pain Relief Center Physical Therapy Aquatic Therapy & CHI

• Specialist in Linden, NJ
• Providers in Linden, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.