Individual provider Active NPI

Anthony James Picaro, MD

  • Family Medicine Physician
  • Long Beach Township, NJ
National Provider Identifier
1689710246
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA02103000 Issued in NJ
Practice address
3003 Long Beach Blvd
Long Beach Township, NJ 08008-2653
Phone
(609) 492-0900
Fax
(609) 492-1347
NPI assigned
Jan 30, 2007
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA02103000 NJ Primary

Addresses

Primary practice location

3003 Long Beach Blvd
Long Beach Township, NJ 08008-2653

Mailing address

3003 Long Beach Blvd
Long Beach Township, NJ 08008-2653
Phone (609) 492-0900

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02103000NJMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: anthony.picaro@oceanmedical.chartmakerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1689710246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080082653",
            "telephone_number": "609-492-0900",
            "fax_number": "609-492-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080082653",
            "telephone_number": "609-492-0900",
            "fax_number": "609-492-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARO",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA02103000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.