Michael C. Dimarcangelo Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB04884500 Issued in NJ

Practice address

19 W Main St
Suite C
Maple Shade, NJ 08052-2411

Phone

(856) 779-7386

Fax

(856) 779-7563

NPI assigned

Jan 13, 2006

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdimarcangelo12752@directvirtua.org

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

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1881673275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HIALEAH DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545706",
            "telephone_number": "609-779-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "address_2": "SUITE C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522411",
            "telephone_number": "856-779-7386",
            "fax_number": "856-779-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARCANGELO",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB04884500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdimarcangelo12752@directvirtua.org",
            "affiliation": "N",
            "address_1": "19 W Main St",
            "address_2": "Suite C",
            "city": "Maple Shade",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080522411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaya Daley
• Nicolette Davis
• Debra Epstein, MD, Limited Liability Company
• Lynn P Delaurentis, MA, LPC
• Mary Ellen Deluca, LPT
• Divine Early Intervention Services
• Claudine Marsha Ebanks, LICENSED NURSE AIDE
• Gary Steven Edelstein, O.D.
• Lauren Emma, LCSW
• Debra M Epstein, M.D.

• Family Medicine Physician in Maple Shade, NJ
• Providers in Maple Shade, 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 Apr 25, 2022; 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.

Verify at the official NPI Registry.