Patrick R Discepola, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01409400 Issued in NJ

Practice address

211 Monmouth Rd
West Long Branch, NJ 07764-1031

Phone

(732) 870-0007

Fax

(732) 870-0151

NPI assigned

Apr 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801016910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641031",
            "telephone_number": "732-870-0007",
            "fax_number": "732-870-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641031",
            "telephone_number": "732-870-0007",
            "fax_number": "732-870-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCEPOLA",
        "first_name": "PATRICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01409400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilian Detiberiis
• Kenneth Dicarlo
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• Joseph Difazio, D.M.D.
• Danielle Dirmeitis, LPC
• Danielle Marie Donato, CNM
• Dr. Steven Marder, LLC (Dr Marder Foot Care)
• Kevin William Drew, ATC
• Drug Fair Group, Inc. (Drug Fair of West Long Branch)
• Demetrius D Dupree, LPC

• Dentist in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.