Active NPI
Stephen Matthew Dimaggio, MD, PHARMD, RPH
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
National Provider Identifier
1851994651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 920 Madison Ave Ste 447
Memphis, TN 38103-3438 - Phone
- (901) 448-5814
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03887100 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Mailing address
920 Madison Ave
Memphis, TN 38103-3438
Phone (901) 448-3714
Other practice location 1
55 US Highway 9
Manalapan, NJ 07726-3018
Phone (732) 294-5197
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RX16542@cvshealth.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250624003271 | NJ | Order and Referring Only - Internal Medicine | 4880106954 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03887100 | NJ | MD | Pharmacist |
Interoperability endpoints
- rx16542@cvshealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1851994651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033438",
"telephone_number": "901-448-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MADISON AVE STE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033438",
"telephone_number": "901-448-5814"
}
],
"practiceLocations": [
{
"address_1": "55 US Highway 9",
"address_purpose": "LOCATION",
"city": "Manalapan",
"state": "NJ",
"postal_code": "077263018",
"country_code": "US",
"telephone_number": "732-294-5197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIMAGGIO",
"first_name": "STEPHEN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD, PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03887100",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RX16542@cvshealth.com",
"affiliation": "N",
"endpointDescription": "direct pharmacy email",
"address_1": "55 US Highway 9",
"city": "Manalapan",
"state": "NJ",
"country_code": "US",
"postal_code": "077263018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.