Individual provider Active NPI

John A Cerritelli, MD DSC

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1437240553
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA60420 Issued in NJ
Practice address
5 Franklin Ave
Belleville, NJ 07109-3532
Phone
(973) 751-4477
Fax
(973) 751-4444
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06042000 NJ
Internal Medicine Physician 207R00000X MA60420 NJ Primary

Addresses

Primary practice location

5 Franklin Ave
Belleville, NJ 07109-3532

Mailing address

5 Franklin Ave Ste 501
Belleville, NJ 07109-3565
Phone (973) 751-4477

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
I20091204000071 NJ Practitioner - Internal Medicine 3476692450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Franklin Ave
Suite 505
Belleville, NJ 07109-3566
Phone (973) 751-4477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60420NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Board Prep Inc Internal Medicine CurrentSince Mar 8, 2011 Accepting new patients

Locations

5 Franklin Ave
Ste 505
Belleville, NJ 07109
Phone (973) 751-4477

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1437240553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE STE 501",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093565",
            "telephone_number": "973-751-4477",
            "fax_number": "973-751-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-751-4477",
            "fax_number": "973-751-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRITELLI",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD DSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06042000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.