Individual provider Active NPI

Mari Dipasquale, DO

  • Psychiatry Physician
  • Somerset, NJ
National Provider Identifier
1457405979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB05322300 Issued in NJ
Practice address
764 Easton Avenue Suite 2
Somerset, NJ 08873
Phone
(732) 339-9886
Fax
(732) 937-8081
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MB05322300 NJ Primary

Addresses

Primary practice location

764 Easton Avenue Suite 2
Somerset, NJ 08873

Mailing address

764 Easton Avenue Suite 2
Somerset, NJ 08873
Phone (732) 339-9886

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
25MB05322300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlene Bonapace CurrentSince Mar 8, 2010 Accepting new patients

Locations

764 Easton Ave
Ste 2
Somerset, NJ 08873
Phone (732) 339-9886

764 Easton Ave
Ste 6
Somerset, NJ 08873
Phone (732) 339-9886

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457405979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 EASTON AVENUE SUITE 2",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-339-9886",
            "fax_number": "732-937-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 EASTON AVENUE SUITE 2",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-339-9886",
            "fax_number": "732-937-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPASQUALE",
        "first_name": "MARI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB05322300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.