Organization Active NPI

Anthony Dippolito, M.D., P.C.

Doing business as Valley Colon and Rectal Center

  • Specialist
  • Bethlehem, PA
National Provider Identifier
1801086251
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0323823E Issued in PA
Legal business name
ANTHONY DIPPOLITO, M.D., P.C.
Doing business as
Valley Colon and Rectal Center
Practice address
201 Drift CT
Bethlehem, PA 18020-7500
Phone
(610) 882-9111
Fax
(610) 882-9946
NPI assigned
Jul 31, 2007
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Anthony D Dippolito, M.D.NPI 1730134974
Title
President
Phone
(610) 882-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD0323823E PA Primary

Addresses

Primary practice location

201 Drift CT
Bethlehem, PA 18020-7500

Mailing address

201 Drift CT
Bethlehem, PA 18020-7500
Phone (610) 882-9111

Other names 1

  • Valley Colon and Rectal Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000352 PA Part B Supplier - Clinic/Group Practice 6406012533 Receives reassigned benefits from 1 practitioner
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory
Tax ID family
Anthony D Dipplolito MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1801086251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DRIFT CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180207500",
            "telephone_number": "610-882-9111",
            "fax_number": "610-882-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DRIFT CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180207500",
            "telephone_number": "610-882-9111",
            "fax_number": "610-882-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY DIPPOLITO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DIPPOLITO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-882-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD0323823E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Colon and Rectal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.