Active NPI
Peter F. Dipaolo, MD, PA
- Orthopaedic Surgery Physician
- Woodland Park, NJ
National Provider Identifier
1770879249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryLocations
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.