NPIMap

Robert L Carracino, M.D.

Individual provider Active NPI Internal Medicine Physician · West Long Branch, NJ

NPI 1093798571 · NPPES record last updated Jul 12, 2010

Key facts

NPI
1093798571
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MA60758 (NJ)
Practice address
241 Monmouth Rd
West Long Branch, NJ 07764-1177
Phone
(732) 263-7910
Fax
(732) 263-7937
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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 11

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care Services (266 clinicians)

Practice addresses (Care Compare)

166 Morris Ave
Suite 2
Long Branch, NJ 07740-6619
Phone (732) 229-2020

8 Mountain Blvd
Warren, NJ 07059-2638

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency · Toms River, NJ · CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency · Neptune, NJ · CCN 317084
  • Monmouth Medical Center Hospital · Long Branch, NJ · CCN 310075
  • Riverview Medical Center Hospital · Red Bank, NJ · CCN 310034
  • Jersey Shore University Medical Center Hospital · Neptune, NJ · CCN 310073
  • Bayshore Medical Center Hospital · Holmdel, NJ · CCN 310112
  • Centrastate Medical Center Hospital · Freehold, NJ · CCN 310111

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101206000087 NJ Practitioner - Internal Medicine 8921295999 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60758NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine Current
since Oct 2, 2021		 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past
since Apr 6, 2021		 Accepting new patients
WLB Medical Associates, P.C. Internal Medicine Past Accepting new patients
Jersey Shore Medical Associates PC Internal Medicine Past Accepting new patients

Locations

166 Morris Ave
Fl 2
Long Branch, NJ 07740
Phone (732) 263-5024

166 Morris Ave
Long Branch, NJ 07740
Phone (732) 229-2020

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: rcarracino45830@epicdirect.rwjbh.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA60758 NJ Yes

Addresses

Primary practice location

241 Monmouth Rd
West Long Branch, NJ 07764-1177

Mailing address

241 Monmouth Rd
West Long Branch, NJ 07764-1177
Phone (732) 263-7910

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 12, 2010.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1093798571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641177",
            "telephone_number": "732-263-7910",
            "fax_number": "732-263-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641177",
            "telephone_number": "732-263-7910",
            "fax_number": "732-263-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRACINO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

All providers in West Long Branch, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.