Jesse Joseph Stawicki, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB46599 Issued in NJ

Practice address

1235 Whitehorse Mercerville Rd
Suite 316 BLDG. C
Mercerville, NJ 08619-3810

Phone

(609) 581-5586

Fax

(609) 581-5779

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 13

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

Specialty

Internal Medicine

Education

University of New England, College of Osteo Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stawicki and Patnaik Medical Associates, P.C.Group PAC ID 7012963184, 2 clinicians

Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson Visiting Nurses, Inc Home health agency, North Brunswick, NJ, CCN 317079
• Mercer Care Home health agency, Bordentown, NJ, CCN 317062
• Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
• Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score

73.83 of 100Reported as individual

Quality

58.64

Improvement activities

40

Cost

67.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.stawicki@novikstawickimedicalassociatespc.chartmakerdirect.com
• Direct secure messaging: jstawicki102200@epicdirect.rwjbh.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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501
  Medicare reassignment Care Compare group NPD
• Stawicki and Patnaik Medical Associates, P.C.

  • Internal Medicine Physician
  • Mercerville, NJ
  • NPI 1730291279
  Medicare reassignment Care Compare group NPD

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

• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation
• Mercer Care Partners Medical Home Health Care LLC

  • Home Health Agency
  • Bordentown, NJ
  • NPI 1336575919
  Care Compare affiliation
• Robert Wood Johnson University Hospital at Hamilton

  • General Acute Care Hospital
  • Hamilton, NJ
  • NPI 1629069638
  Care Compare affiliation
• Robert Wood Johnson Visiting Nurses, Inc.

  • Home Health Agency
  • North Brunswick, NJ
  • NPI 1588809248
  Care Compare affiliation
• Robert Wood Johnson Visiting Nurses, Inc.

  • Community Based Hospice Care Agency
  • North Brunswick, NJ
  • NPI 1700968609

  Home health agency

  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  • Home Health Agency
  • Toms River, NJ
  • NPI 1912964818
  Care Compare affiliation

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1497732598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HAMTON CT E",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086913640",
            "telephone_number": "609-581-5586",
            "fax_number": "609-581-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 316 BLDG. C",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-5586",
            "fax_number": "609-581-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAWICKI",
        "first_name": "JESSE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB46599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS/HEALTHNET",
            "identifier": "1K3956",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2261107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "223709512",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5404703",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "MEP111",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "223709512",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL AETNA",
            "identifier": "4208912",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/PERS",
            "identifier": "047593100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110207564",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN.",
            "identifier": "645148",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0927766",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65",
            "identifier": "2158854000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "987766",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Su Sperrazza
• Aaron A Sporn, MD
• Mary Frances Sprow
• Marlene Lee Stankus, M.A. CCC SLP
• Stawicki and Patnaik Medical Associates, P.C.
• Nicholas John Stettner
• William Eric Stubbs, OTR/L
• Glenn Sudnick, PHARMD
• Surgical Specialties of New Jersey, LLC
• Tammy E. Schuler, LLC

• Internal Medicine Physician in Mercerville, NJ
• Providers in Mercerville, 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 Oct 13, 2011; 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.