Active NPI
Frank Depaolo, P.A.
- Physician Assistant
- New York, NY
National Provider Identifier
1356468003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005184
- Practice address
- 520 1St Ave
New York, NY 10016-6419 - Phone
- (212) 447-4483
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005184 | NY | Primary |
| Physician Assistant | 363A00000X | MP-0213 | NJ |
Addresses
Primary practice location
520 1St Ave
New York, NY 10016-6419
Mailing address
PO Box 283
Toms River, NJ 08754-0283
Phone (917) 440-7489
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005184 | NY | MD | Mental Health Counselor |
| MP-0213 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates of New Jersey PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Long Branch, NJ
- NPI 1841456068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356468003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 283",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087540283",
"telephone_number": "917-440-7489",
"fax_number": "212-447-2782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166419",
"telephone_number": "212-447-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAOLO",
"first_name": "FRANK",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005184",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "MP-0213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.