Individual provider Active NPI

Jeffrey Dipaolo, M.D.

  • Diagnostic Radiology Physician
  • Brick, NJ
National Provider Identifier
1295829588
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06055800 Issued in NJ
Practice address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 974-8011
Fax
(732) 974-8820
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06055800 NJ Primary

Addresses

Primary practice location

425 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

PO Box 3131
Point Pleasant Boro, NJ 08742-6131
Phone (732) 974-8011

Other identifiers 1

IdentifierTypeStateIssuer
6235905MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Village Imaging, LLC CurrentSince Jan 1, 2018 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients

Locations

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1295829588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3131",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087426131",
            "telephone_number": "732-974-8011",
            "fax_number": "732-974-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-974-8011",
            "fax_number": "732-974-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLO",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06055800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6235905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.