Joseph Vincent Ditrolio, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA03785200 Issued in NJ

Practice address

556 Eagle Rock Avenue
Suite 204
Roseland, NJ 07068-1502

Phone

(973) 228-2771

Fax

(973) 228-7477

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Essex Surgical LLC

  • Ambulatory Surgical Clinic/Center
  • West Orange, NJ
  • NPI 1578679320
  Medicare reassignment NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295767804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVENUE",
            "address_2": "SUITE 204",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681502",
            "telephone_number": "973-228-2771",
            "fax_number": "973-228-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVENUE",
            "address_2": "SUITE 204",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681502",
            "telephone_number": "973-228-2771",
            "fax_number": "973-228-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITROLIO",
        "first_name": "JOSEPH",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03785200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1826905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Joseph Crosta, DMD
• Mary Burke Cunningham, MA, EDM, LPC
• Shelly D'Amato, LCSW
• Deheart Home Care Services LLC
• Mark Joseph Demarest, LPC
• Hong-Hoa DO, D.D.S.
• Edward Fischer, Jr, DC, LLC
• Lori Ann Eggers, M.A.,CCC/SLPCERT AVT
• Eileen Vider Nutrition, LLC
• Emanuel Elfenbein, MD

• Urology Physician in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.