Albert Martin Dipasquale, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA04524300 Issued in NJ

Practice address

813 East Gate Drive
Mount Laurel, NJ 08054

Phone

(856) 222-9119

Fax

(856) 222-9907

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1740284595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EASTON CT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814309",
            "telephone_number": "609-670-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 EAST GATE DRIVE",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-222-9119",
            "fax_number": "856-222-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPASQUALE",
        "first_name": "ALBERT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04524300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2329409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Dilisi
• Alexandra Dillon, LCSW
• Patricia Dimaria
• Jordan Lindsay Dinich, OT
• Steven Michael Dinoia
• Doc Love Homecare
• Katrina Dodson, OT
• Alana Dolan
• Stefan Carl Dombrowski, PH.D.
• Lauren Ashley Donlon, APN

• Dermatology Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.