Organization Active NPI

David J Dupree MD PC

  • Surgery Physician
  • Red Bank, NJ
National Provider Identifier
1407295975
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08972900 Issued in NJ
Legal business name
DAVID J DUPREE MD PC
Doing business as
David J Dupree MD PC
Practice address
70 E Front St FL 5
Red Bank, NJ 07701-1851
Phone
(732) 450-1200
Fax
(732) 450-1220
NPI assigned
Jun 18, 2013
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Mrs. Danielle Marie McIntosh
Title
Office Manager
Phone
(732) 450-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA08972900 NJ Primary

Addresses

Primary practice location

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

Mailing address

766 Shrewsbury Ave
Suite 405
Tinton Falls, NJ 07724-3001
Phone (732) 450-1200

Other names 1

  • David J Dupree MD PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130815000453 NJ Part B Supplier - Clinic/Group Practice 8325280662 Receives reassigned benefits from 3 practitioners
Practice locations: Red Bank, NJ

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.

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1407295975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 SHREWSBURY AVE",
            "address_2": "SUITE 405",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243001",
            "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": "2013-06-18",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-450-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08972900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David J Dupree MD PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "David J Dupree MD PC",
            "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 Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.