Organization Active NPI

Dr. Gregory a. Pistone MDPC

  • Specialist
  • Marlton, NJ
National Provider Identifier
1962651869
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA037807 Issued in NJ
Legal business name
DR. GREGORY A. PISTONE MDPC
Practice address
514 Lippincott Dr
Marlton, NJ 08053-4803
Phone
(856) 988-8080
Fax
(856) 596-3179
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Gregory Anthony Pistone, MD
Title
Physician
Phone
(856) 988-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA037807 NJ Primary

Addresses

Primary practice location

514 Lippincott Dr
Marlton, NJ 08053-4803

Mailing address

514 Lippincott Dr
Marlton, NJ 08053-4803
Phone (856) 988-8080

National Provider Directory

National Provider Directory

Locations

514 Lippincott Dr
Marlton, NJ 08053
Phone (856) 988-8080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1962651869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534803",
            "telephone_number": "856-988-8080",
            "fax_number": "856-596-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534803",
            "telephone_number": "856-988-8080",
            "fax_number": "856-596-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREGORY A. PISTONE MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "PISTONE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-988-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA037807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.