Individual provider Active NPI

Anthony Farole, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Bala Cynwyd, PA
National Provider Identifier
1700945938
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS022779L Issued in PA
Practice address
2 Bala PLZ
Suite Il-25
Bala Cynwyd, PA 19004-1501
Phone
(610) 668-3300
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS022779L PA Primary

Addresses

Primary practice location

2 Bala PLZ
Suite Il-25
Bala Cynwyd, PA 19004-1501

Mailing address

380 Shelbourne LN
Phoenixville, PA 19460-5743
Phone (610) 668-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000576 PA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8729110309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

191 Presidential Blvd
Suite W2
Bala Cynwyd, PA 19004-1205
Phone (610) 668-3300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Farole DMD, Inc. CurrentSince Mar 3, 2014 Accepting new patients

Locations

191 Presidential Blvd
Ste W2
Bala Cynwyd, PA 19004
Phone (610) 668-3300

Interoperability endpoints

  • Direct secure messaging: anthonyfarole@anthonyfarole.direct.emds.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1700945938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SHELBOURNE LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605743",
            "telephone_number": "610-668-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ",
            "address_2": "SUITE IL-25",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROLE",
        "first_name": "ANTHONY",
        "name_prefix": "Prof.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022779L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.