Craig Allen Dise, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA04478500 Issued in NJ

Practice address

100 Madison Ave
Pathology
Morristown, NJ 07960-6136

Phone

(973) 971-4251

Fax

(973) 290-7370

NPI assigned

Jun 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avante Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Denville, NJ
  • NPI 1639405764
  NPD (past)
• Promed Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Flemington, NJ
  • NPI 1336545508
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710921879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "PATHOLOGY",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-4251",
            "fax_number": "973-290-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "PATHOLOGY",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-4251",
            "fax_number": "973-290-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISE",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA04478500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Scott Dinneen, D.O.
• Directions CLS, LLC
• Chrystal Disant
• Discovery Psychotherapy Center LLC
• Discovery Wellness Center, LLC
• Richard Anthony Distaulo, LCSW, LCADC
• Tony Distefano, DPM
• Lewis Dlugasch, MSW
• DMC Athletic and Rehabilitation, PC
• Tonya Gail Domenico Tasso, OTR/L

• Anatomic Pathology & Clinical Pathology Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• 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.

Verify at the official NPI Registry.