Organization Active NPI

Lawrence Paolini, DO, PC

  • Dermatology Physician
  • Cape May Court House, NJ
National Provider Identifier
1962530493
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB05275300 Issued in NJ
Legal business name
LAWRENCE PAOLINI, DO, PC
Practice address
105 N Main St
Cape May Court House, NJ 08210-2119
Phone
(609) 465-8788
Fax
(609) 465-8643
NPI assigned
Feb 28, 2007
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Lawrence Paolini, D.O.NPI 1437263753
Title
Owner
Phone
(609) 465-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MB05275300 NJ Primary

Addresses

Primary practice location

105 N Main St
Cape May Court House, NJ 08210-2119

Mailing address

105 N Main St
Cape May Court House, NJ 08210-2119
Phone (609) 465-8788

Other practice location 1

210 S Shore Rd Ste 200
Marmora, NJ 08223-1271
Phone (609) 465-8788 ext. 110

Other identifiers 1

IdentifierTypeStateIssuer
0057107000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000068 NJ Part B Supplier - Clinic/Group Practice 9133187768 Receives reassigned benefits from 5 practitioners
Practice locations: Cape May Court House, NJ

National Provider Directory

National Provider Directory

Locations

103 N Main St
Cape May Court House, NJ 08210

105 N Main St
Cape May Court House, NJ 08210
Phone (609) 465-8788

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1962530493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "609-465-8788",
            "fax_number": "609-465-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "609-465-8788",
            "fax_number": "609-465-8643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Shore Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Marmora",
            "state": "NJ",
            "postal_code": "082231271",
            "country_code": "US",
            "telephone_number": "609-465-8788 x110",
            "fax_number": "609-465-8643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAWRENCE PAOLINI, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "PAOLINI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-465-8788",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB05275300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0057107000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.