| Jeffrey Dipaolo, MD | |
|
425 Jack Martin Blvd, Brick, NJ 08724-7732 | |
| (732) 974-8011 | |
| (732) 974-8820 |
| Full Name | Jeffrey Dipaolo |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 425 Jack Martin Blvd, Brick, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295829588 | NPI | - | NPPES |
| 6235905 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA06055800 (New Jersey) | Primary |
| Entity Name | Health Village Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194810978 PECOS PAC ID: 9537263223 Enrollment ID: O20070406000359 |
| Entity Name | Coastal Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710334727 PECOS PAC ID: 8123312055 Enrollment ID: O20160816000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Dipaolo, MD Po Box 3131, Point Pleasant Boro, NJ 08742-6131 Ph: (732) 974-8011 | Jeffrey Dipaolo, MD 425 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (732) 974-8011 |
Dr. Douglas Andrew Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4109 | |
Amelia Jean Cardo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 455 Jack Martin Blvd, Brick, NJ 08724 Phone: 609-677-9729 Fax: 609-652-6270 | |
Johanna Marie Del're Kalemba, MD Radiology Medicare: Medicare Enrolled Practice Location: 455 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-6500 Fax: 732-840-6459 | |
Dr. Nathan Kaufman, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4130 Fax: 732-836-4036 | |
Dr. Richard Lansing Dillon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4083 | |
Patrick J. O'connor Jr., D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-974-8011 Fax: 732-974-8820 |