Joseph A Sarnelle, MD
Individual provider Active NPI Cardiovascular Disease Physician · Hazlet, NJ
NPI 1285648972 · NPPES record last updated Jan 23, 2008
Key facts
- NPI
- 1285648972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MA40219 (NJ)
- Practice address
- 812 Poole Ave
Hazlet, NJ 07730-2051 - Phone
- (732) 264-3131
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
812 Poole Ave
Suite C
Hazlet, NJ 07730-2052
Phone (732) 264-3131
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000664 | NJ | Practitioner - Cardiovascular Disease (Cardiology) |
9931132511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA40219 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph a Sarnelle, MD, PC | Internal Medicine | Current |
Accepting new patients |
| Riverview Cardiac Diagnostic Associates P.a. | Cardiovascular Disease | Past | Accepting new patients |
| Guiding Light Home Care | Past | Accepting new patients | |
| Bayshore Cardiology PC | Cardiovascular Disease | Past |
Accepting new patients |
Locations
812 Poole Ave
Hazlet, NJ 07730
Phone (732) 264-3131
812 Poole Ave
Ste C
Hazlet, NJ 07730
Phone (732) 264-3131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA40219 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | MA40219 | NJ | Yes |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MA40219 | NJ |
Addresses
Primary practice location
812 Poole Ave
Hazlet, NJ 07730-2051
Mailing address
812 Poole Ave
Hazlet, NJ 07730-2051
Phone (732) 264-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0693600 | Medicaid | NJ |
Other providers in Hazlet, NJ
- Sahni Med LLC
- Ryan Sahni
- Saker Shoprites Inc
- Rama T Sambandan
- Melanie Saray
- Cara Scarpato
- Monica Schiffman
- Victoria Schilder
- Joy A Schuchman
- Michael Schwartz
All providers in Hazlet, NJ · Cardiovascular Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.