Michael Christopher Schettino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08796300 Issued in NJ

Practice address

539 US Highway 9
Lanoka Harbor, NJ 08734-2211

Phone

(609) 549-6266

Fax

(609) 549-5600

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, TX2 enrollments

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 2

Specialty

Family PracticeAlso: Sports Medicine

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plainsboro-Princeton Medical Associates PCGroup PAC ID 6507994753, 4 clinicians

Practice addresses (Care Compare)

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.

• MC Schettino MD

  • Physical Medicine & Rehabilitation Physician
  • Old Tappan, NJ
  • NPI 1609750926
  Medicare reassignment NPD Authorized official
• Plainsboro-Princeton Medical Associates PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1841442704
  Medicare reassignment Care Compare group NPD
• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754
  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1497872824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 US HIGHWAY 9",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342211",
            "telephone_number": "609-549-6266",
            "fax_number": "609-549-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHETTINO",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA08796300",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD439645",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08796300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rem New Jersey, Inc.
• Beata Reshetar, DNP, FNP-C
• Raquel Rodriguez, CADC
• Royal Care Medical Supplies LLC
• Saker Shoprites Inc
• Gabriel I. Schreiber, D.D.S.
• Kellyann Selleck, LCSW
• Michele Serrano, COTA
• Jonel Sharp
• Barbara Helen Sorace, MSW,LCSW,LCADC

• Family Medicine Physician in Lanoka Harbor, NJ
• Providers in Lanoka Harbor, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.