Anthony D Dibona Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB04122000 Issued in NJ

Practice address

1605 E Evesham Rd Ste 100a
Voorhees, NJ 08043-1437

Phone

(856) 841-7100

Fax

(856) 424-2629

NPI assigned

Mar 27, 2006

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

Other identifiers 1

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

81.15 of 100Reported as group

Quality

62.28

Promoting interoperability

100

Improvement activities

40

Cost

74.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1194785717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E EVESHAM RD STE 100A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431437",
            "telephone_number": "856-841-7100",
            "fax_number": "856-424-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404-1406 Route 130 N",
            "address_2": "Main Line Shopping Center",
            "address_purpose": "LOCATION",
            "city": "Cinnaminson",
            "state": "NJ",
            "postal_code": "080773032",
            "country_code": "US",
            "telephone_number": "856-786-8010",
            "fax_number": "856-786-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 W Main St SteC",
            "address_purpose": "LOCATION",
            "city": "Maple Shade",
            "state": "NJ",
            "postal_code": "08052",
            "country_code": "US",
            "telephone_number": "856-779-7386",
            "fax_number": "856-779-7563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Lakehurst Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Browns Mills",
            "state": "NJ",
            "postal_code": "080156057",
            "country_code": "US",
            "telephone_number": "609-893-3133",
            "fax_number": "609-893-7972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 E Gibbsboro Rd Frnt",
            "address_purpose": "LOCATION",
            "city": "Lindenwold",
            "state": "NJ",
            "postal_code": "080211907",
            "country_code": "US",
            "telephone_number": "856-309-0100",
            "fax_number": "856-309-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBONA",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB04122000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922807",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adibona167170@directvirtua.org",
            "affiliation": "N",
            "address_1": "1605 Evesham Road",
            "address_2": "Suite 100 1st Floor Front",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adibona167170@directvirtua.org",
            "affiliation": "N",
            "address_1": "406 E Gibbsboro Rd Frnt",
            "city": "Lindenwold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080211907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adibona167170@directvirtua.org",
            "affiliation": "N",
            "address_1": "19 W Main St SteC",
            "city": "Maple Shade",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adibona167170@directvirtua.org",
            "affiliation": "N",
            "address_1": "1404-1406 Route 130 N",
            "address_2": "Main Line Shopping Center",
            "city": "Cinnaminson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080773032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adibona167170@directvirtua.org",
            "affiliation": "N",
            "address_1": "130 Lakehurst Rd Ste A",
            "city": "Browns Mills",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080156057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ivanna Kacie Solomon Di Lorenzo, DO
• Diagnostic Pathology Consultants PA
• Prameela Dibba, M.D.
• Tracy Lee Dibease, PT
• Karlene Marie Dibeneditto, CRNA
• Anna Dicarlo, M.D.
• Ninetta Simone Dickerson, NNP
• Stephen Jay Dickstein, DPM
• Charles L Dietzek, D.O.
• Erika B Dietzek, APN (NP)

• Family Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.