Active NPIIndividual providerSole proprietor

Jody C Digiacomo, MD

Surgery in Freehold, New Jersey

NPI Number1063449551
Practice location
1001 W Main St, Suite A, Freehold, NJ 07728-2579
Fax
732-303-0114
Last updated
March 25, 2014

Jody Christopher Digiacomo is a Surgery based in Freehold, NJ. Jody Christopher Digiacomo practices in Freehold, NJ and has the professional credentials of MD. The NPI Number for Jody Christopher Digiacomo is 1063449551 and holds a License No. MA053971 (NJ). The current practice location address for Jody Christopher Digiacomo is 1001 W Main St, Suite A, Freehold, NJ 07728-2579 and can be reached out via phone at 732-845-5001 and via fax at 732-303-0114.

Provider Profile Details

NPI Number
1063449551
Provider Name
Jody Christopher Digiacomo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1001 W Main St, Suite A, Freehold, NJ 07728-2579
Phone Number
732-845-5001
Fax Number
732-303-0114
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2006
Last Update Date
March 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 W Main St
Suite A
Freehold, NJ 07728-2579
Zip
07728-2579
Phone Number
732-845-5001
Fax Number
732-303-0114
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
1001 W Main St
Suite A
Freehold, NJ 07728-2579
City
Freehold
State
NJ
Zip
07728-2579
Phone Number
732-845-5001
Fax Number
732-303-0114

License Information

License Number (1)
MA053971
License State (1)
NJ
Taxonomy (1)
Surgery, Trauma Surgery · 2086S0127X
License Number (2)
ma053971
License State (2)
NJ
Taxonomy (2)
Surgery · 208600000X · Primary
License Number (3)
ma053971
License State (3)
NJ
Taxonomy (3)
Surgery, Surgical Critical Care · 2086S0102X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jody C Digiacomo, MD?

The NPI number of Jody C Digiacomo, MD is 1063449551. It was assigned on June 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Jody C Digiacomo, MD?

Jody C Digiacomo, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number MA053971.

Where does Jody C Digiacomo, MD practice?

The practice location is 1001 W Main St, Suite A, Freehold, NJ 07728-2579. The office can be reached at 732-845-5001 (phone) or 732-303-0114 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063449551 directly on the NPPES registry website.

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