Active NPI
Somerset Pathology Associates, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Somerville, NJ
National Provider Identifier
1366583254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- SOMERSET PATHOLOGY ASSOCIATES, LLC
- Practice address
- 110 Rehill Ave
Somerville, NJ 08876-2519 - Phone
- (800) 503-6254
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony D'Aguillo, M.D.
- Title
- Partner
- Phone
- (908) 685-2937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
110 Rehill Ave
Somerville, NJ 08876-2519
Mailing address
PO Box 48131
Newark, NJ 07101-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3273008 | Medicaid | NJ | |
| 2211122000 | Other | AMERIHEALTH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Somerville, NJ
- NPI 1487876637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1366583254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48131",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071014800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519",
"telephone_number": "800-503-6254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERSET PATHOLOGY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "D'AGUILLO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "908-685-2937",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3273008",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2211122000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
- Somerset Medical Center (SMC Cardiology)
- Somerset Medical Center
- Somerset Medical Center Behavioral Health Unit
- Somerset Medical Center Urgent Care, PC
- Somerset Oral & Maxillofacial Surgery Group
- Somerset Psychological Group, PA
- Somerset Surgical Associates,LLC
- Somerset Surgical Specialists LLC (Somerset Surgical Specialists)
- Somerset Treatment Services
- Somerset Treatment Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.