Individual provider Active NPI

Alfred M Dipiero, DO

  • Internal Medicine Physician
  • Sewell, NJ
National Provider Identifier
1396857629
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB21982 Issued in NJ
Practice address
400 Medical Center Dr
Suite E
Sewell, NJ 08080-2362
Phone
(856) 582-5678
Fax
(856) 582-8868
NPI assigned
Aug 31, 2006
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB21982 NJ Primary
Rheumatology Physician 207RR0500X MB02198200 NJ

Addresses

Primary practice location

400 Medical Center Dr
Suite E
Sewell, NJ 08080-2362

Mailing address

400 Medical Center Dr
Suite E
Sewell, NJ 08080-2362
Phone (856) 582-5678

Other identifiers 2

IdentifierTypeStateIssuer
3374009MedicaidNJ
P00396252OtherNJRAILROAD MEDICARE

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB21982NJMDInternal Medicine Physician
MB02198200NJMDRheumatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1396857629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER DR",
            "address_2": "SUITE E",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802362",
            "telephone_number": "856-582-5678",
            "fax_number": "856-582-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER DR",
            "address_2": "SUITE E",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802362",
            "telephone_number": "856-582-5678",
            "fax_number": "856-582-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIERO",
        "first_name": "ALFRED",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB21982",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MB02198200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00396252",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.