Vincent Destasio DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VINCENT DESTASIO DO LLC

Practice address

1851 Hooper Ave
Suite a
Toms River, NJ 08753-8150

Phone

(732) 255-6566

Fax

(732) 255-3085

NPI assigned

Jul 10, 2006

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Andrea Back

Title

Office Manager

Phone

(732) 255-6566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Dalia Hanna, MD

  • Family Medicine Physician
  • Morganville, NJ
  • NPI 1053402479
  NPD (past)
• Lisa Adrian Kassenoff, D.O.

  • Family Medicine Physician
  • Forked River, NJ
  • NPI 1912960436
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1801829890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOOPER AVE",
            "address_2": "ST A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538150",
            "telephone_number": "732-255-6566",
            "fax_number": "732-255-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 HOOPER AVE",
            "address_2": "SUITE A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538150",
            "telephone_number": "732-255-6566",
            "fax_number": "732-255-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT DESTASIO DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "BACK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-255-6566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Villarreal, MD
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• Vimax LLC (Ocean Insight Center)
• Vincent V Rullo Jr. LLC (Riverwood Family Chiropractic)
• Vinod Sancheti Mdpa
• Keiandra V Vinson, DNP, MBA,PMHNP
• Lyndsey Viola
• Sara Elizabeth Viola

• Family Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.