Active NPI
Lawrence A Ferraro, D.O.
- Sports Medicine (Family Medicine) Physician
- Somerville, NJ
National Provider Identifier
1700847332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MB03185600
- Practice address
- 80 West End Avenue
Somerville, NJ 08876 - Phone
- (908) 722-7400
- Fax
- (908) 704-0552
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MB03185600 | NJ | Primary |
Addresses
Primary practice location
80 West End Avenue
Somerville, NJ 08876
Mailing address
80 West End Avenue
Somerville, NJ 08876
Phone (908) 722-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1519603 | Medicaid | NJ |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB03185600 | NJ | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700847332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WEST END AVENUE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "08876",
"telephone_number": "908-722-7400",
"fax_number": "908-704-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WEST END AVENUE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "08876",
"telephone_number": "908-722-7400",
"fax_number": "908-704-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARO",
"first_name": "LAWRENCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NJ",
"license": "MB03185600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1519603",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.