Carl Lance De Fronzo, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MB05555100 Issued in NJ

Practice address

216 Short Hills Ave
Springfield, NJ 07081-1010

Phone

(973) 376-7838

Fax

(973) 912-4367

NPI assigned

Oct 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1730415407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SHORT HILLS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811010",
            "telephone_number": "973-376-7838",
            "fax_number": "973-912-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SHORT HILLS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811010",
            "telephone_number": "973-376-7838",
            "fax_number": "973-912-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FRONZO",
        "first_name": "CARL",
        "middle_name": "LANCE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB05555100",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB05555100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann R Cutalo
• Robyn Noelle D'Agostino, MD
• Addolorata Dally, PTA
• Michelle Farber Daniel, PSY.D.
• David Aichroth Lcadc, LSW,
• Cristina R. De la Mar, M.S., L.AC.
• Stephen Daniel Defronzo, MD
• Rosanna Dejesus, LPC
• Amber Dejianne, M.A, CCC-SLP
• Taleen J Demirdjian, LSW

• General Practice Physician in Springfield, NJ
• Providers in Springfield, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.