NPIMap

Organization Active NPI

Joseph Peter Fodero MD PA

  • Specialist
  • Florham Park, NJ
National Provider Identifier
1972788859
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06938000 Issued in NJ
Legal business name
JOSEPH PETER FODERO MD PA
Practice address
220 Ridgedale Ave
Florham Park, NJ 07932-1348
Phone
(973) 295-6565
Fax
(973) 295-6567
NPI assigned
Jan 9, 2008
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Joseph Peter Fodero, MDNPI 1073541314
Title
Owner
Phone
(973) 295-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA06938000 NJ Primary

Addresses

Primary practice location

220 Ridgedale Ave
Florham Park, NJ 07932-1348

Mailing address

220 Ridgedale Ave
Florham Park, NJ 07932-1348
Phone (973) 295-6565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1972788859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321348",
            "telephone_number": "973-295-6565",
            "fax_number": "973-295-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321348",
            "telephone_number": "973-295-6565",
            "fax_number": "973-295-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PETER FODERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "FODERO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-295-6565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06938000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.