Dennis Digiacomo MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03818900 Issued in NJ

Legal business name

DENNIS DIGIACOMO MD LLC

Practice address

1072 S Orange Ave
Newark, NJ 07106-1516

Phone

(973) 623-5309

Fax

(973) 399-8562

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. April McCarthy

Title

Practice Manager

Phone

(973) 371-8960

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis A. Digiacomo, M.D.

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1649218421
  Medicare reassignment NPD
• Jeffrey Lander, MD

  • Cardiovascular Disease Physician
  • Florham Park, NJ
  • NPI 1356533889
  Medicare reassignment NPD
• William Arthur Digiacomo, M.D.,F.A.C.P.

  • Internal Medicine Physician
  • Union, NJ
  • NPI 1184672172
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1467598177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070790387",
            "telephone_number": "973-371-8960",
            "fax_number": "973-371-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061516",
            "telephone_number": "973-623-5309",
            "fax_number": "973-399-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS DIGIACOMO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "973-371-8960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03818900",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA1029244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K9656",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649218421",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "EP023",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn K Demarest, PAC
• Jennifer Demosthene, APN
• Pamela Dengrove
• Deniks Services LLC
• Peterson Denis, MSW
• Lakeisha Marie Dennis, RN
• Unknown Dennis, RD
• Cristina Dennison, MD
• Dental Health Associates PA
• Dental Kidz, Limited Liability Company

• Specialist in Newark, NJ
• Providers in Newark, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.