Eugene L. Desalvo, MD, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

EUGENE L. DESALVO, MD, PA

Practice address

515 Iron Bridge Rd
Freehold, NJ 07728-5300

Phone

(732) 780-3434

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Shari Porter

Title

Office Manager

Phone

(732) 780-5556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1972808442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 IRON BRIDGE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285300",
            "telephone_number": "732-780-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 IRON BRIDGE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285300",
            "telephone_number": "732-780-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE L. DESALVO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-780-5556"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.