Active NPI
Frederick G. Meoli, D.O.
- Surgery Physician
- Cherry Hill, NJ
National Provider Identifier
1790970804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MB02322500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160310000922 | NJ | Order and Referring Only - General Surgery | 3971528407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23225 | NJ | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.