Active NPI
Peter F Dipaolo, M.D.
- Orthopaedic Surgery Physician
- Woodland Park, NJ
National Provider Identifier
1437219045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA60375
- Practice address
- 1225 McBride Ave
Suite 111
Woodland Park, NJ 07424-2540 - Phone
- (973) 638-1661
- Fax
- (973) 638-1662
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA60375 | NJ | Primary |
Addresses
Primary practice location
1225 McBride Ave
Suite 111
Woodland Park, NJ 07424-2540
Mailing address
1225 McBride Ave
Suite 111
Woodland Park, NJ 07424-2540
Phone (973) 638-1661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7699506 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60375 | NJ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1437219045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MCBRIDE AVE",
"address_2": "SUITE 111",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242540",
"telephone_number": "973-638-1661",
"fax_number": "973-638-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MCBRIDE AVE",
"address_2": "SUITE 111",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242540",
"telephone_number": "973-638-1661",
"fax_number": "973-638-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPAOLO",
"first_name": "PETER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA60375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7699506",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.