Individual provider Active NPI

Jessica J Dinapoli, PA-C

  • Surgical Physician Assistant
  • Mercerville, NJ
National Provider Identifier
1609924133
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00165600 Issued in NJ
Practice address
1401 Whitehorse Mercerville Rd
Suite 212
Mercerville, NJ 08619-3835
Phone
(609) 588-5081
Fax
(609) 588-5086
NPI assigned
Jan 8, 2007
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00165600 NJ Primary

Addresses

Primary practice location

1401 Whitehorse Mercerville Rd
Suite 212
Mercerville, NJ 08619-3835

Mailing address

PO Box 8500-8721
Philadelphia, PA 19178-0001
Phone (609) 815-7810

Other names 1

  • Jessica J Wolski Other name

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00165600NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stroke & Cerebrovascular Center of New Jersey PC Past Accepting new patients
Endo-Surgical Associates of Central NJ Past Accepting new patients
Stroke & Cerebrovascular Center of New Jersey Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1609924133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-8721",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "609-815-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 212",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193835",
            "telephone_number": "609-588-5081",
            "fax_number": "609-588-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINAPOLI",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00165600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOLSKI",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.