Individual provider Active NPI

Lawrence Paolini, D.O.

  • Dermatology Physician
  • Cape May Court House, NJ
National Provider Identifier
1437263753
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB05275300 Issued in NJ
Practice address
105 N Main St
Cape May Court House, NJ 08210-2119
Phone
(609) 465-8788
Fax
(609) 465-8643
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MB05275300 NJ Primary

Addresses

Primary practice location

105 N Main St
Cape May Court House, NJ 08210-2119

Mailing address

105 N Main St
PO Box 177
Cape May Court House, NJ 08210-2119
Phone (609) 465-8788

Other identifiers 4

IdentifierTypeStateIssuer
070002459OtherRAILROAD MEDICARE
009205OtherMEDICARE GROUP PTAN
223086309OtherTAX ID
0057107000OtherAMERIHEALTH PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000075 NJ Practitioner - Dermatology 1052366820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Paolini, DO, PCGroup PAC ID 9133187768, 5 clinicians

Practice addresses (Care Compare)

105 N Main St
Cape May Court House, NJ 08210-2119
Phone 6094658788110

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions268
Removal or shaving of skin growth1-10
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05275300NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Paolini, DO, PC Dermatology CurrentSince Apr 12, 1989 Accepting new patients

Locations

105 N Main St
Cape May Court House, NJ 08210
Phone (609) 465-8788

Interoperability endpoints

  • Direct secure messaging: lawrence.paolini@paoliniskin.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1437263753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "address_2": "PO BOX 177",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "609-465-8788",
            "fax_number": "609-465-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "609-465-8788",
            "fax_number": "609-465-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "LAWRENCE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB05275300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070002459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "009205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223086309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PROVIDER ID",
            "identifier": "0057107000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.