Active NPIOrganization

J C Digiacomo, MD., LLC

Specialist in Freehold, New Jersey

NPI Number1104047901
Practice location
900 W Main St, Suite 4, Freehold, NJ 07728-2523
Fax
732-294-1940
Last updated
June 6, 2008

J C Digiacomo, MD., LLC is a healthcare organization based in Freehold, NJ. J C Digiacomo, MD., LLC practices in Freehold, NJ. The NPI Number for J C Digiacomo, MD., LLC is 1104047901 and holds a License No. 25MA05397100 (NM). The current practice location address for J C Digiacomo, MD., LLC is 900 W Main St, Suite 4, Freehold, NJ 07728-2523 and can be reached out via phone at 732-303-9584 and via fax at 732-294-1940.

Provider Profile Details

NPI Number
1104047901
Provider Name
J C Digiacomo, MD., LLC
Provider Entity Type
Organization
Address
900 W Main St, Suite 4, Freehold, NJ 07728-2523
Phone Number
732-303-9584
Fax Number
732-294-1940
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Jody C Digiacomo, MD · Surgeon · 732-683-0888
Provider Enumeration Date
May 1, 2007
Last Update Date
June 6, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 W Main St
Suite 4
Freehold, NJ 07728-2523
Zip
07728-2523
Phone Number
732-303-9584
Fax Number
732-294-1940
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
900 W Main St
Suite 4
Freehold, NJ 07728-2523
City
Freehold
State
NJ
Zip
07728-2523
Phone Number
732-303-9584
Fax Number
732-294-1940

License Information

License Number
25MA05397100
License State
NM
Taxonomy
Specialist · 174400000X · Primary

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 J C Digiacomo, MD., LLC?

The NPI number of J C Digiacomo, MD., LLC is 1104047901. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of J C Digiacomo, MD., LLC?

J C Digiacomo, MD., LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NM under license number 25MA05397100.

Where does J C Digiacomo, MD., LLC practice?

The practice location is 900 W Main St, Suite 4, Freehold, NJ 07728-2523. The office can be reached at 732-303-9584 (phone) or 732-294-1940 (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 1104047901 directly on the NPPES registry website.

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