Active NPI
Wendy T Shertz-Dipietro, MD
- Anatomic Pathology & Clinical Pathology Physician
- Long Branch, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA04831900
- Practice address
- 300 Second Avenue
Monmouth Medical Center Dept of Pathology
Long Branch, NJ 07740 - Phone
- (732) 229-8711
- Fax
- (732) 229-0245
- NPI assigned
- Dec 13, 2006
- Last updated
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA04831900 | NJ | Primary |
Addresses
Primary practice location
300 Second Avenue
Monmouth Medical Center Dept of Pathology
Long Branch, NJ 07740
Mailing address
PO Box 417
279 Third Avenue Suite 104
Long Branch, NJ 07740
Phone (732) 229-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2309602 | Medicaid | NJ |
Other names 1
- Wendy Dipietro
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Hahnemann University College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Rutgers Health RWJ Pathology
New Brunswick, NJ 08901-1928
Phone (732) 937-8651
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04831900 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Laboratory Medicine Associates | Past | Accepting new patients |
Locations
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
66 W Gilbert St
Ste 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
Organizations & group practices 3
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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Neonatal-Perinatal Medicine Physician
- New Brunswick, NJ
- NPI 1295741858
-
- Ph.D. Medical Genetics
- Long Branch, NJ
- NPI 1942357975
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
dba Monmouth Medical Center Southern Campus
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1518028307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"address_2": "279 THIRD AVENUE SUITE 104",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "07740",
"telephone_number": "732-229-8711",
"fax_number": "732-229-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SECOND AVENUE",
"address_2": "MONMOUTH MEDICAL CENTER DEPT OF PATHOLOGY",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "07740",
"telephone_number": "732-229-8711",
"fax_number": "732-229-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERTZ-DIPIETRO",
"first_name": "WENDY",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA04831900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2309602",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "DIPIETRO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.