Organization Active NPI

Peter F. Dipaolo, MD, PA

  • Orthopaedic Surgery Physician
  • Woodland Park, NJ
National Provider Identifier
1770879249
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PETER F. DIPAOLO, MD, PA
Practice address
1225 McBride Ave
Suite 111
Woodland Park, NJ 07424-2540
Phone
(973) 638-1661
Fax
(973) 638-1662
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Mrs. Luz Joann Koutouzakis
Title
Office Manager
Phone
(973) 638-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1225 McBride Ave
Suite 111
Woodland Park, NJ 07424-2540

Mailing address

1225 McBride Ave
Suite 111
Woodland Park, NJ 07424-2540
Phone (973) 638-1661

National Provider Directory

National Provider Directory

Locations

1225 McBride Ave
Ste 111
Woodland Park, NJ 07424
Phone (315) 794-3761

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1770879249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 111",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242540",
            "telephone_number": "973-638-1661",
            "fax_number": "973-638-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 111",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242540",
            "telephone_number": "973-638-1661",
            "fax_number": "973-638-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F. DIPAOLO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "KOUTOUZAKIS",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-638-1661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.