Joseph J Minissale Jr., D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

OS007619L Issued in PA

Practice address

4 Glen Cove Dr
Rockport, ME 04856-4235

Phone

(207) 301-5790

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Gastroenterology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
• St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
• St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.minissale@slpg.direct-sluhn.org
• Direct secure messaging: jminissale273246@direct.mmc.mainehealth.org

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.

• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group NPD
• Via Affiliates

  • Vascular Surgery Physician
  • Doylestown, PA
  • NPI 1003446261
  Medicare reassignment NPD
• St Luke'S Physician Group Inc

  • Internal Medicine Physician
  • Bethlehem, PA
  • NPI 1134151244
  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• Via Affiliates

  • Specialist
  • Doylestown, PA
  • NPI 1386136364
  NPD
• Via Affiliates

  • Psychologist
  • Warrington, PA
  • NPI 1588489272
  NPD

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

• St Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St. Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke'S Hospital Bethlehem

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation
• St. Luke'S Hospital Monroe Campus

  • General Acute Care Hospital
  • Stroudsburg, PA
  • NPI 1396194197
  Care Compare affiliation
• St. Luke'S Hospital-Carbon Campus

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1699340927
  Care Compare affiliation
• The Carbon-Schuylkill Community Hospital, Inc.

  • General Acute Care Hospital
  • Coaldale, PA
  • NPI 1437182847
  Care Compare affiliation

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1366441354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST STE 201",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151152",
            "telephone_number": "484-526-6545",
            "fax_number": "484-526-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-301-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Ostrum St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fountain Hill",
            "state": "PA",
            "postal_code": "180151152",
            "country_code": "US",
            "telephone_number": "484-526-6545",
            "fax_number": "484-526-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINISSALE",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "DO2986",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS007619L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016078690002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midcoast Rheumatology, P.C.
• Melanie D Miller, LCPC-C
• Trevor Mills, PT
• Sarah Minnix
• Thomas Michael Mitchell, M.D.
• Eileen Marie Molloy, M.S., R.D.N. C.D.E.
• Erin Leigh Monberg, CNM
• Michelle Suzanne Morgan, ANP-BC

• Gastroenterology Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Gastroenterology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.