Active NPI
Marie A. Di Pasquale
- Allergy & Immunology Physician
- Palo Alto, CA
National Provider Identifier
1700247897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 016555
- Practice address
- 705 Lincoln Avenue
Palo Alto, CA 94301 - Phone
- (203) 216-5421
- NPI assigned
- Mar 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 016555 | CT | Primary |
Addresses
Primary practice location
705 Lincoln Avenue
Palo Alto, CA 94301
Mailing address
705 Lincoln Avenue
Palo Alto, CA 94301
Phone (203) 216-5421
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016555 | CT | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1700247897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 LINCOLN AVENUE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94301",
"telephone_number": "203-216-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 LINCOLN AVENUE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94301",
"telephone_number": "203-216-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI PASQUALE",
"first_name": "MARIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "016555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.