NPIMap

Organization Active NPI

David J Dupree MD PC

Doing business as Shore Minimally Invasive Surgery

  • Surgery Physician
  • Red Bank, NJ
National Provider Identifier
1366889099
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2MA08972900 Issued in NJ
Legal business name
DAVID J DUPREE MD PC
Doing business as
Shore Minimally Invasive Surgery
Practice address
70 E Front St FL 5
Red Bank, NJ 07701-1851
Phone
(732) 450-1200
Fax
(732) 450-1220
NPI assigned
Jun 4, 2013
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Dr. David Dupree, M.D.NPI 1386843126
Title
President
Phone
(732) 450-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2MA08972900 NJ Primary

Addresses

Primary practice location

70 E Front St FL 5
Red Bank, NJ 07701-1851

Mailing address

70 E Front St FL 5
Red Bank, NJ 07701-1851
Phone (732) 450-1200

Other identifiers 1

IdentifierTypeStateIssuer
25MA08972900OtherNJNJ MEDICAL LICENSE

Other names 1

  • Shore Minimally Invasive Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David J Dupree MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1366889099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST FL 5",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-450-1200",
            "fax_number": "732-450-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E FRONT ST FL 5",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011851",
            "telephone_number": "732-450-1200",
            "fax_number": "732-450-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J DUPREE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-450-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "2MA08972900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL LICENSE",
            "identifier": "25MA08972900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Minimally Invasive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.