Individual provider Active NPI

Michael J Piarulli Jr., MD

  • Internal Medicine Physician
  • Medford, NJ
National Provider Identifier
1316926322
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04638600 Issued in NJ
Practice address
13 E Delaware TRL
Medford, NJ 08055-8948
Phone
(609) 953-9335
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04638600 NJ Primary

Addresses

Primary practice location

13 E Delaware TRL
Medford, NJ 08055-8948

Mailing address

13 E Delaware TRL
Medford, NJ 08055-8948
Phone (609) 953-9335

Other identifiers 2

IdentifierTypeStateIssuer
9099403MedicaidNJ
189512500MedicaidMD

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
I20121109000305 NJ Practitioner - Internal Medicine 5597753038 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04638600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Sep 23, 2012 Accepting new patients
Virtua Medical Group, PA Internal Medicine CurrentSince Nov 8, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 8, 2016 Accepting new patients
Atlanticare Physician Group PA CurrentSince Sep 23, 2012 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

2500 English Creek Ave
Ste 907
Egg Harbor Township, NJ 08234
Phone (609) 407-2310

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1316926322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E DELAWARE TRL",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558948",
            "telephone_number": "609-953-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E DELAWARE TRL",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558948",
            "telephone_number": "609-953-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIARULLI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04638600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9099403",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189512500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.