Individual provider Active NPI

John E Patricelli, MD

  • Surgery Physician
  • Salem, NJ
National Provider Identifier
1265498307
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA45615 Issued in NJ
Practice address
1 Pointers Auburn Rd
Salem, NJ 08079-4311
Phone
(856) 935-2424
Fax
(856) 935-7712
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA45615 NJ Primary

Addresses

Primary practice location

1 Pointers Auburn Rd
Salem, NJ 08079-4311

Mailing address

1 Pointers Auburn Rd
Salem, NJ 08079-4311
Phone (856) 935-2424

Other identifiers 1

IdentifierTypeStateIssuer
3208001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA45615NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C. E. Pasupathy PastSince Jan 1, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265498307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POINTERS AUBURN RD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080794311",
            "telephone_number": "856-935-2424",
            "fax_number": "856-935-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POINTERS AUBURN RD",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080794311",
            "telephone_number": "856-935-2424",
            "fax_number": "856-935-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICELLI",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA45615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3208001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

Verify at the official NPI Registry.