John J. Dibiase, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA43822 Issued in NJ

Practice address

1225 Whitehorse Mercerville Rd
BLDG. D, Suite 220
Mercerville, NJ 08619-3882

Phone

(609) 581-2200

Fax

(609) 581-1212

NPI assigned

Mar 8, 2006

Last updated

May 6, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1336117332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG. D, SUITE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200",
            "fax_number": "609-581-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG. D, SUITE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200",
            "fax_number": "609-581-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBIASE",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA43822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.