Organization Active NPI

Frank de Maio MD PA

  • Internal Medicine Physician
  • Vineland, NJ
National Provider Identifier
1699753772
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA01932000 Issued in NJ
Legal business name
FRANK DE MAIO MD PA
Practice address
1047 Almond St
Vineland, NJ 08360
Phone
(856) 691-7111
Fax
(856) 205-9654
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Frank De Maio
Title
President
Phone
(856) 691-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA01932000 NJ Primary

Addresses

Primary practice location

1047 Almond St
Vineland, NJ 08360

Mailing address

1047 Almond St
Vineland, NJ 08360
Phone (856) 691-7111

Other identifiers 1

IdentifierTypeStateIssuer
2635402MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1047 Almond St
Vineland, NJ 08360
Phone (609) 691-7111

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1699753772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 ALMOND ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-691-7111",
            "fax_number": "856-205-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 ALMOND ST",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-691-7111",
            "fax_number": "856-205-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK DE MAIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "DE MAIO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-691-7111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA01932000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2635402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.