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MR. JOHN P SERSANTI MD NPI 1003882697


NPI Information

NPI: 1003882697
Provider Name: MR. JOHN P SERSANTI, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 31D1035668

Address:
3 PLAZA DR
STE 10
TOMS RIVER, NJ
ZIP 08757
Phone: (732) 797-0477
Get Directions

MR. John P Sersanti, MD is a family medicine in Toms River, NJ with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. John P Sersanti, MD NPI is 1003882697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3 PLAZA DR
STE 10
TOMS RIVER, NJ
ZIP 08757
Phone: (732) 797-0477
Fax: (732) 797-0644

The NPI 1003882697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 31D1035668 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 2/24/2006 and was last updated on 11/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMA2507155600NEW JERSEYNo
2207Q00000XFamily MedicineMA2507155600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1087190MEDICARE PINNEW JERSEY
2043701TQMMEDICARE ID-TYPE UNSPECIFIED
3087190MEDICARE ID-TYPE UNSPECIFIED
4H28284MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.