Individual provider Active NPI

John P Sersanti, MD

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1003882697
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA2507155600 Issued in NJ
Practice address
3 Plaza Dr
Ste 10
Toms River, NJ 08757
Phone
(732) 797-0477
Fax
(732) 797-0644
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA2507155600 NJ Primary
Internal Medicine Physician 207R00000X MA2507155600 NJ

Addresses

Primary practice location

3 Plaza Dr
Ste 10
Toms River, NJ 08757

Mailing address

3 Plaza Dr
Ste 10
Toms River, NJ 08757
Phone (732) 797-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000037 NJ Practitioner - Internal Medicine 5193783561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Plaza Dr
Suite 10
Toms River, NJ 08757-3765
Phone (732) 797-0477

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Angelic Hospice Hospice, West Atlantic City, NJ, CCN 311579
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA2507155600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John P Sersanti, MD,PC Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Eastern Medical Associates, P.C. Internal Medicine PastSince Nov 12, 1996 Accepting new patients

Locations

3 Plaza Dr
Ste 10
Toms River, NJ 08757
Phone (732) 580-1110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDGBAA/Endpoint/DDGBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDGBAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1003882697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "STE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08757",
            "telephone_number": "732-797-0477",
            "fax_number": "732-797-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "STE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08757",
            "telephone_number": "732-797-0477",
            "fax_number": "732-797-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERSANTI",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA2507155600",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA2507155600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.