Individual provider Active NPI

Paul Triolo, MD

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1821056151
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05532400 Issued in NJ
Practice address
2292 Clover Hill LN
Toms River, NJ 08755-1393
Phone
(732) 323-0100
Fax
(732) 818-9741
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA05532400 NJ Primary

Addresses

Primary practice location

2292 Clover Hill LN
Toms River, NJ 08755-1393

Mailing address

181 Nathan Dr
Morganville, NJ 07751-2213
Phone (732) 323-0100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000521 NJ Practitioner - Family Practice 7012923758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1821056151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 NATHAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512213",
            "telephone_number": "732-323-0100",
            "fax_number": "732-970-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 CLOVER HILL LN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551393",
            "telephone_number": "732-323-0100",
            "fax_number": "732-818-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIOLO",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05532400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.