Active NPIIndividual provider

Michael C Dimarcangelo Jr., DO

Family Medicine in Maple Shade, New Jersey

NPI Number1881673275
Practice location
19 W Main St, Suite C, Maple Shade, NJ 08052-2411
Fax
856-779-7563
Last updated
April 25, 2022

Michael C. Dimarcangelo is a Family Medicine based in Maple Shade, NJ. Michael C. Dimarcangelo practices in Maple Shade, NJ and has the professional credentials of DO. The NPI Number for Michael C. Dimarcangelo is 1881673275 and holds a License No. 25MB04884500 (NJ). The current practice location address for Michael C. Dimarcangelo is 19 W Main St, Suite C, Maple Shade, NJ 08052-2411 and can be reached out via phone at 856-779-7386 and via fax at 856-779-7563.

Provider Profile Details

NPI Number
1881673275
Provider Name
Michael C. Dimarcangelo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
19 W Main St, Suite C, Maple Shade, NJ 08052-2411
Phone Number
856-779-7386
Fax Number
856-779-7563
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 13, 2006
Last Update Date
April 25, 2022
Certification Date
April 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 W Main St
Suite C
Maple Shade, NJ 08052-2411
Zip
08052-2411
Phone Number
856-779-7386
Fax Number
856-779-7563
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
303 Hialeah Dr
Mount Laurel, NJ 08054-5706
City
Mount Laurel
State
NJ
Zip
08054-5706
Phone Number
609-779-7386

License Information

License Number
25MB04884500
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 Michael C Dimarcangelo Jr., DO?

The NPI number of Michael C Dimarcangelo Jr., DO is 1881673275. It was assigned on January 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael C Dimarcangelo Jr., DO?

Michael C Dimarcangelo Jr., DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB04884500.

Where does Michael C Dimarcangelo Jr., DO practice?

The practice location is 19 W Main St, Suite C, Maple Shade, NJ 08052-2411. The office can be reached at 856-779-7386 (phone) or 856-779-7563 (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 1881673275 directly on the NPPES registry website.

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