NPIMap

Individual provider Active NPI

Ann M Dipaolo, D.O.

  • Family Medicine Physician
  • Forked River, NJ
National Provider Identifier
1285604041
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07677400 Issued in NJ
Practice address
1044 Lacey Rd Ste 9
Forked River, NJ 08731-1051
Phone
(732) 349-8866
Fax
(732) 349-7842
NPI assigned
Jan 25, 2006
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07677400 NJ Primary

Addresses

Primary practice location

1044 Lacey Rd Ste 9
Forked River, NJ 08731-1051

Mailing address

1044 Lacey Rd Ste 9
Forked River, NJ 08731-1051
Phone (609) 693-0819

Other identifiers 1

IdentifierTypeStateIssuer
0052680MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000717 NJ Practitioner - Family Practice 9234191818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1044 Lacey Rd
Suite 9
Forked River, NJ 08731-1051
Phone (609) 693-0819

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center Inc Past Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine PastSince Jan 1, 2014 Accepting new patients
Allergic Disease Associates PC PastSince Oct 15, 2023 Accepting new patients
Jersey Shore Monmouth Family Medicine Group P C Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1285604041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD STE 9",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "609-693-0819",
            "fax_number": "732-349-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD STE 9",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "732-349-8866",
            "fax_number": "732-349-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLO",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07677400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052680",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.