Individual provider Active NPI

Panfilo G Canton, M.D.

  • Adult Medicine Physician
  • Freehold, NJ
National Provider Identifier
1235360892
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
2MA02669600 Issued in NJ
Practice address
182 Derby Dr.
Freehold, NJ 07728-2766
Phone
(732) 431-1073
Fax
(732) 431-1073
NPI assigned
Jul 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 2MA02669600 NJ Primary

Addresses

Primary practice location

182 Derby Dr.
Freehold, NJ 07728-2766

Mailing address

182 Derby Dr.
Freehold, NJ 07728-2766
Phone (732) 431-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2MA02669600NJMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1235360892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 DERBY DR.",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282766",
            "telephone_number": "732-431-1073",
            "fax_number": "732-431-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 DERBY DR.",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282766",
            "telephone_number": "732-431-1073",
            "fax_number": "732-431-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTON",
        "first_name": "PANFILO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "2MA02669600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.