Dimitri Cefalu, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA04689800 Issued in NJ

Practice address

3000 Essex Rd
Tinton Falls, NJ 07753-2631

Phone

(732) 643-2070

Fax

(732) 643-2015

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gulf Coast Hma Physician Management LLC

  dba Gulf Coast Foot and Ankle

  • Podiatrist
  • Venice, FL
  • NPI 1932470648
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1679505879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 35",
            "address_2": "STE 300",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552758",
            "telephone_number": "732-531-5509",
            "fax_number": "732-531-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ESSEX RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077532631",
            "telephone_number": "732-643-2070",
            "fax_number": "732-643-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEFALU",
        "first_name": "DIMITRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA04689800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NJ",
            "identifier": "5221142040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "04-09805",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021890",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Caruso, CMT
• Stephanie Cassidy, CCC-SLP
• John Darius Castellini, DC
• Ana Castro
• Joseph L Cecere, D.M.D.
• Caitlin Danielle Celendano, M.S., CCC-SLP
• Sara Celnik
• Nicole Cerrato
• Stephen Arthur Chagares, M.D.
• Soumya Chakrapani, M.D

• Internal Medicine Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.