Active NPI
Salvatore J Fogarino III, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 40QA02162000
- Practice address
- 570 Egg Harbor Rd Ste C-4C
Sewell, NJ 08080-2359 - Phone
- (609) 267-9400
- NPI assigned
- Sep 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 2305214700 | VA | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT5000023 | DC | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 40QA02162000 | NJ | Primary |
Addresses
Primary practice location
570 Egg Harbor Rd Ste C-4C
Sewell, NJ 08080-2359
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
300 W Route 38 Ste C
Moorestown, NJ 08057-3424
Phone (609) 267-9400
Other practice location 2
614 Lambs Rd Unit C
Pitman, NJ 08071-2023
Phone (609) 267-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3242 Route 206
Bordentown, NJ 08505-4517
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02162000 | NJ | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| 2305214700 | VA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
300 W Route 38
Ste C
Moorestown, NJ 08057
614 Lambs Rd
Unit C
Pitman, NJ 08071
Phone (856) 256-0051
570 Egg Harbor Rd
Ste C4C
Sewell, NJ 08080
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Foot & Ankle Surgery Podiatrist
- Marlton, NJ
- NPI 1902356215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1457022329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 EGG HARBOR RD STE C-4C",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802359",
"telephone_number": "609-267-9400"
}
],
"practiceLocations": [
{
"address_1": "300 W Route 38 Ste C",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573424",
"country_code": "US",
"telephone_number": "609-267-9400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "614 Lambs Rd Unit C",
"address_purpose": "LOCATION",
"city": "Pitman",
"state": "NJ",
"postal_code": "080712023",
"country_code": "US",
"telephone_number": "609-267-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGARINO",
"first_name": "SALVATORE",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-21",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "VA",
"license": "2305214700",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "DC",
"license": "PT5000023",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NJ",
"license": "40QA02162000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.