Anthony Degennaro, MD FACS

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

51666 Issued in NJ

Practice address

370 State Highway 35
Suite 100
Red Bank, NJ 07701

Phone

(732) 530-7799

Fax

(732) 530-9091

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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.

• Atlantic ENT Group LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Red Bank, NJ
  • NPI 1629294079
  Medicare reassignment NPD Authorized official
• Monmouth Surgi Center Inc

  • Ambulatory Surgical Clinic/Center
  • Red Bank, NJ
  • NPI 1437237997
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528137262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 STATE HIGHWAY 35",
            "address_2": "SUITE 100",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-530-7799",
            "fax_number": "732-530-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 STATE HIGHWAY 35",
            "address_2": "SUITE 100",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-530-7799",
            "fax_number": "732-530-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENNARO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NJ",
            "license": "51666",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NY",
            "license": "161571-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas De Leo, MD
• Nelson Nunes De Lima Neto, DMD
• Lea De Maio
• Joseph A Deantonio Sr., DMD
• Janice Marie Decesario, LCSW
• Heather Deguzman, DPT
• Kalene Dehaut, LCSW, MSW
• Steven Deitch, DPM
• Luisa Rita Del Castillo, MD, F.A.A.P.
• Danielle G Del Re, D.O.

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.