Alicia G Deperio, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA44838 Issued in NJ

Practice address

4679 Route 9 N
Suite #8
Howell, NJ 07731-3384

Phone

(732) 905-9505

Fax

(732) 905-2448

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578535035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4679 ROUTE 9 N",
            "address_2": "SUITE #8",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313384",
            "telephone_number": "732-905-9505",
            "fax_number": "732-905-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4679 ROUTE 9 N",
            "address_2": "SUITE #8",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313384",
            "telephone_number": "732-905-9505",
            "fax_number": "732-905-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPERIO",
        "first_name": "ALICIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA44838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Howell, NJ
• Providers in Howell, NJ by specialty
• Pediatrics Physician in New Jersey

• 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.