Donald M Micallef MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA55294 Issued in NJ

Legal business name

DONALD M MICALLEF MD PC

Practice address

512 Warren Ave
Spring Lake, NJ 07762-1233

Phone

(732) 449-0063

Fax

(732) 449-3427

NPI assigned

Sep 14, 2011

Last updated

Oct 21, 2011By 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

Dr. Donald M Micallef, MDNPI 1467486365

Title

MD

Phone

(732) 449-0063

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Donald M Micallef, MD

  • Internal Medicine Physician
  • Spring Lake, NJ
  • NPI 1467486365
  Authorized official Same address or phone

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1912289059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 LOCUST AVE",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312056",
            "telephone_number": "732-449-0063",
            "fax_number": "732-449-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WARREN AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621233",
            "telephone_number": "732-449-0063",
            "fax_number": "732-449-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD M MICALLEF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "MICALLEF",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-449-0063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.