Provider Demographics
NPI:1942241435
Name:CATAPANO, JOSEPH A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:CATAPANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 STELTON RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5200
Mailing Address - Country:US
Mailing Address - Phone:732-985-2552
Mailing Address - Fax:732-985-0552
Practice Address - Street 1:1080 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5200
Practice Address - Country:US
Practice Address - Phone:732-985-2552
Practice Address - Fax:732-985-0552
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA34843174400000X
NJ25MA03484300207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3297209Medicaid
NJ053915Medicare ID - Type Unspecified
NJD20039Medicare UPIN