Individual provider Active NPI

Robert A Sammartino, D.O.

  • Neurology Physician
  • Sewell, NJ
National Provider Identifier
1336247451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB05689100 Issued in NJ
Practice address
445 Hurffville Crosskeys Rd
Suite B-8
Sewell, NJ 08080-2337
Phone
(856) 589-7740
Fax
(856) 256-0291
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MB05689100 NJ Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd
Suite B-8
Sewell, NJ 08080-2337

Mailing address

445 Hurffville Crosskeys Rd
Suite B-8
Sewell, NJ 08080-2337
Phone (856) 589-7740

Other identifiers 6

IdentifierTypeStateIssuer
0658957000OtherNJAMERIHEALTH/KEYSTONE
2190907MedicaidNJ
5152OtherNJOPERATING ENGINEERS
2269417OtherNJAETNA PROVIDER #
1118648OtherNJHORIZON MERCY NON-PAR #
130022255OtherNJRAILROAD MEDICARE

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
I20120227000159 NJ Practitioner - Neurology 1759549488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

445 Hurffville Crosskeyes Rd
Sewell, NJ 08080-2338
Phone (856) 589-7740

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (844) 542-2273

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Merit-based Incentive Payment System (MIPS)

Final score
23.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB05689100NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Sammartino, D.O., P.a. Neurology CurrentSince Dec 4, 2011 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Nov 21, 2025 Accepting new patients
Kennedy Medical Group Practice P.C. CurrentSince Nov 21, 2025 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients
Kennedy Medical Group Practice, P.C. Neurology PastSince Jun 15, 2021 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

445 Hurffville Crosskeys Rd
Ste B16
Sewell, NJ 08080
Phone (856) 256-7591

445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852

445 Hurffville Crosskeys Rd
#R
Sewell, NJ 08080
Phone (609) 332-3852

445 Hurffville Crosskeys Rd
Ste B8
Sewell, NJ 08080
Phone (856) 589-7740

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCEAD/Endpoint/IFCEAD

Organizations & group practices 5

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 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336247451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE B-8",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-589-7740",
            "fax_number": "856-256-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE B-8",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-589-7740",
            "fax_number": "856-256-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMARTINO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB05689100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE",
            "identifier": "0658957000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190907",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENGINEERS",
            "identifier": "5152",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "2269417",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY NON-PAR #",
            "identifier": "1118648",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130022255",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.