Organization Active NPI

Paul Dell'Aquila, M.D., P.C.

  • Internal Medicine Physician
  • Nutley, NJ
National Provider Identifier
1669539169
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA00551 Issued in NJ
Legal business name
PAUL DELL'AQUILA, M.D., P.C.
Practice address
339 Passaic Ave
Nutley, NJ 07110-2738
Phone
(973) 542-2880
Fax
(973) 542-2881
NPI assigned
Jan 3, 2007
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Paul V Dell'Aquila, M.D.NPI 1275594707
Title
President
Phone
(973) 542-2880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA00551 NJ Primary

Addresses

Primary practice location

339 Passaic Ave
Nutley, NJ 07110-2738

Mailing address

339 Passaic Ave
Nutley, NJ 07110-2738
Phone (973) 542-2880

Other identifiers 1

IdentifierTypeStateIssuer
4583302MedicaidNJ

National Provider Directory

National Provider Directory

Locations

5 Franklin Ave
Ste 509
Belleville, NJ 07109
Phone (973) 450-0400

339 Passaic Ave
Nutley, NJ 07110
Phone (973) 542-2880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1669539169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 PASSAIC AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102738",
            "telephone_number": "973-542-2880",
            "fax_number": "973-542-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 PASSAIC AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102738",
            "telephone_number": "973-542-2880",
            "fax_number": "973-542-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DELL'AQUILA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "DELL'AQUILA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-542-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA00551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4583302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.