Individual provider Active NPI

Peter A Rienzo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Manasquan, NJ
National Provider Identifier
1033166285
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA04948300 Issued in NJ
Practice address
2315 Route 34 South
Suite D
Manasquan, NJ 08736
Phone
(732) 974-0404
Fax
(732) 449-4271
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA04948300 NJ Primary

Addresses

Primary practice location

2315 Route 34 South
Suite D
Manasquan, NJ 08736

Mailing address

3600 Route 66
FL 3
Neptune, NJ 07753-2645
Phone (732) 807-0877

Other identifiers 2

IdentifierTypeStateIssuer
P00906952OtherRR MEDICARE
1475908MedicaidNJ

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
I20041018000109 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 1052371739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Ocean Surgical Pavilion, PC Past Accepting new patients
Red Bank Gastroenterology Associates, PA PastSince Aug 9, 1996 Accepting new patients
Jersey Shore Anesthesiology Associates PA Past Accepting new patients
Allied Digestive Health, LLC PastSince Jan 1, 2015 Accepting new patients
Associated Pain Specialists, LLC Pain Medicine Past Accepting new patients
Shore Gastroenterology Associates PC Past Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

2315 Route 34
Ste D
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

365 Broad St
Ste 1W
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

226 Route 37 W
Toms River, NJ 08755
Phone (732) 240-6060

Organizations & group practices 8

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 7

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1033166285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66",
            "address_2": "FL 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ROUTE 34 SOUTH",
            "address_2": "SUITE D",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-974-0404",
            "fax_number": "732-449-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENZO",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA04948300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00906952",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.