Active NPI
Paul Carmine Yodice, MD
- Critical Care Medicine (Internal Medicine) Physician
- Livingston, NJ
National Provider Identifier
1912985078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 25MA08172700
- Practice address
- 94 Old Short Hills Rd
Suite E1-01
Livingston, NJ 07039-5672 - Phone
- (973) 322-2782
- Fax
- (973) 322-8564
- NPI assigned
- Jan 8, 2006
- Last updated
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | CMD08968 | RI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA08172700 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Suite E1-01
Livingston, NJ 07039-5672
Mailing address
94 Old Short Hills Rd
Suite E1-01
Livingston, NJ 07039-5672
Phone (973) 322-2782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMD08968 | RI | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1912985078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"address_2": "SUITE E1-01",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-2782",
"fax_number": "973-322-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"address_2": "SUITE E1-01",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-2782",
"fax_number": "973-322-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODICE",
"first_name": "PAUL",
"middle_name": "CARMINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-08",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "RI",
"license": "CMD08968",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA08172700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.