Individual provider Active NPI

Frederick G. Meoli, D.O.

  • Surgery Physician
  • Cherry Hill, NJ
National Provider Identifier
1790970804
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB02322500 Issued in NJ
Practice address
87 Harrowgate Dr
Cherry Hill, NJ 08003-1939
Phone
(856) 489-1656
Fax
(856) 424-2128
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB02322500 NJ Primary

Addresses

Primary practice location

87 Harrowgate Dr
Cherry Hill, NJ 08003-1939

Mailing address

87 Harrowgate Dr
Cherry Hill, NJ 08003-1939
Phone (856) 489-1656

Other names 1

  • Dr. Frederick G Meoli Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000922 NJ Order and Referring Only - General SurgeryPractitioner - General Surgery 3971528407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
23225NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1790970804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HARROWGATE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031939",
            "telephone_number": "856-489-1656",
            "fax_number": "856-424-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HARROWGATE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031939",
            "telephone_number": "856-489-1656",
            "fax_number": "856-424-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEOLI",
        "first_name": "FREDERICK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB02322500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "MEOLI",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.