Individual provider Active NPI

Joseph A Dipoala Jr., M.D.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1639124605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183315 Issued in NY
Practice address
1850 Ridge Rd E
Rochester, NY 14622-2448
Phone
(585) 342-3870
Fax
(585) 342-7938
NPI assigned
May 24, 2006
Sex
Male
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
Internal Medicine Physician 207R00000X 183315 NY Primary

Addresses

Primary practice location

1850 Ridge Rd E
Rochester, NY 14622-2448

Mailing address

1850 Ridge Rd E
Rochester, NY 14622-2448
Phone (585) 342-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000702 NY Practitioner - Internal Medicine 6002817715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Internal Medicine Group, LLP Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients

Locations

1850 E Ridge Rd
Ste 1
Rochester, NY 14622
Phone (585) 342-3870

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10568/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639124605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870",
            "fax_number": "585-342-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870",
            "fax_number": "585-342-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPOALA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.