Individual provider Active NPI

Vanessa Dipalma, PA

  • Medical Physician Assistant
  • Wall Township, NJ
National Provider Identifier
1811921489
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00097900 Issued in NJ
Practice address
1967 State Route 34 Ste 102
Wall Township, NJ 07719
Phone
(732) 345-1180
Fax
(732) 530-4476
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00097900 NJ Primary

Addresses

Primary practice location

1967 State Route 34 Ste 102
Wall Township, NJ 07719

Mailing address

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000196 NJ Practitioner - Physician Assistant 9537228358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

1640 Route 88 W
Brick, NJ 08724-3068
Phone (732) 458-7866

222 Schanck Rd
Freehold, NJ 07728-3068
Phone (732) 462-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Apr 8, 2019 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Apr 8, 2019 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Past Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center Past Accepting new patients
Ocean Orthopedic Associates, P.a. Past Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

294 Applegarth Rd
Ste C
Monroe, NJ 08831
Phone (609) 495-1888

1200 Eagle Ave
Ocean, NJ 07712

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1811921489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-1200",
            "fax_number": "609-893-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 STATE ROUTE 34 STE 102",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-345-1180",
            "fax_number": "732-530-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPALMA",
        "first_name": "VANESSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00097900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.