Pasquale J Yaccarino, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03918300 Issued in NJ

Practice address

212 State RT 94 Ste 1-C
Vernon, NJ 07462-3324

Phone

(973) 823-8800

Fax

(973) 823-8811

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526
  Medicare reassignment NPD
• Primary Care Partners, LLC

  dba Scaduto & Renz MDs- Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Boonton, NJ
  • NPI 1003196858
  NPD
• Primary Care Partners, LLC

  dba Internal Medicine of Vernon-Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Vernon, NJ
  • NPI 1508297680
  NPD

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1427020742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB#7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STATE RT 94 STE 1-C",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623324",
            "telephone_number": "973-823-8800",
            "fax_number": "973-823-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACCARINO",
        "first_name": "PASQUALE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03918300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743128",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vernon Urgent Care Center
• Walgreen Co (Rite Aid #10412)
• Well Spring Behavioral Health, LLC
• Jaime Kristen Wherry, L. AC.
• Jessica Wong

• Internal Medicine Physician in Vernon, NJ
• Providers in Vernon, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.