NPIMap

Organization Active NPI

Frederick a. Depaola, MD, LLC

  • Specialist
  • Manasquan, NJ
National Provider Identifier
1992012371
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA04579600 Issued in NJ
Legal business name
FREDERICK A. DEPAOLA, MD, LLC
Practice address
2444 Highway 34
Manasquan, NJ 08736-1818
Phone
(732) 528-4407
Fax
(732) 528-4525
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Ms. Charlotte White
Title
Manager
Phone
(732) 528-4370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA04579600 NJ Primary

Addresses

Primary practice location

2444 Highway 34
Manasquan, NJ 08736-1818

Mailing address

2444 Highway 34
Manasquan, NJ 08736-1818
Phone (732) 528-4407

National Provider Directory

National Provider Directory

Locations

2444 Highway 34
Ste B
Manasquan, NJ 08736
Phone (732) 528-4407

Practitioners & affiliated clinicians

Practitioners 3

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": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1992012371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 HIGHWAY 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361818",
            "telephone_number": "732-528-4407",
            "fax_number": "732-528-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 HIGHWAY 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361818",
            "telephone_number": "732-528-4407",
            "fax_number": "732-528-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK A. DEPAOLA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-528-4370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA04579600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.