Individual provider Active NPI

Robert Paul Falconiero, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Vineland, NJ
National Provider Identifier
1376500967
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MB04705300 Issued in NJ
Practice address
352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Phone
(856) 690-1616
Fax
(856) 896-6107
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MB04705300 NJ Primary

Addresses

Primary practice location

352 S Delsea Dr Unit C
Vineland, NJ 08360-5308

Mailing address

352 S Delsea Dr Unit C
Vineland, NJ 08360-5308
Phone (856) 690-1616

Other practice location 1

556 Egg Harbor Rd
Suite A
Sewell, NJ 08080-2326
Phone (856) 589-0650 ext. 1011

Other practice location 2

1004 Haddonfield Rd
Cherry Hill, NJ 08002-2746
Phone (856) 690-1616 ext. 6021

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
I20050318000608 NJ Practitioner - Orthopedic Surgery 6901851237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

298 S Delsea Dr
Vineland, NJ 08360-4568
Phone (856) 690-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC CurrentSince Nov 18, 2019 Accepting new patients
South Jersey Musculoskeletal Institute, LLC Current Accepting new patients
South Jersey Sports Medicine Center PC Current Accepting new patients
Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC CurrentSince Nov 18, 2019 Accepting new patients

Locations

1004 Haddonfield Rd
Cherry Hill, NJ 08002
Phone (609) 662-7733

556 Egg Harbor Rd
Ste A
Sewell, NJ 08080
Phone (856) 286-2000

352 S Delsea Dr
Unit C
Vineland, NJ 08360
Phone 8566901616 ext. 6021

298 S Delsea Dr
Vineland, NJ 08360
Phone (356) 690-1616

Interoperability endpoints

  • Direct secure messaging: robert.falconiero@poasnj.eclinicaldirectplus.com

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1376500967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S DELSEA DR UNIT C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605308",
            "telephone_number": "856-690-1616",
            "fax_number": "856-896-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S DELSEA DR UNIT C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605308",
            "telephone_number": "856-690-1616",
            "fax_number": "856-896-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 Egg Harbor Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802326",
            "country_code": "US",
            "telephone_number": "856-589-0650 x1011",
            "fax_number": "856-589-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Haddonfield Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022746",
            "country_code": "US",
            "telephone_number": "856-690-1616 x6021",
            "fax_number": "856-896-6107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCONIERO",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MB04705300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.