Individual provider Active NPI

Anthony Joseph Abbruzzi, D.O.

  • Internal Medicine Physician
  • Pleasantville, NJ
National Provider Identifier
1629034905
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB09768400 Issued in NJ
Practice address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
Phone
(609) 822-7979
NPI assigned
Apr 25, 2006
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB09768400 NJ Primary
Internal Medicine Physician 207R00000X OS009203L PA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 22443 NH

Addresses

Primary practice location

8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967

Mailing address

331 Chester Ave
Moorestown, NJ 08057-2525
Phone (856) 996-5600

Other identifiers 7

IdentifierTypeStateIssuer
0643575000OtherPAKEYSTONE IBC
5332581OtherPAAETNA HMO
0016965000005MedicaidPA
0016965000001MedicaidPA
30067582OtherPAKEYSTONE MERCY
44086OS009203LOtherPAHEALTH PARTNERS
352310OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20050610000135 PA Practitioner - Internal Medicine 2163481318 Reassigns benefits to 2 organizations
I20240123001062 NJ Practitioner - Internal Medicine 2163481318 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009203LPAMDInternal Medicine Physician
22443NHMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Practice, Limited Internal Medicine CurrentSince Oct 5, 2004 Accepting new patients
Angelic Health Practice Group Hospice and Palliative Medicine CurrentSince May 7, 2024 Accepting new patients
Mercy Home Health CurrentSince Nov 16, 2024 Accepting new patients
Mercy Home Health CurrentSince Nov 16, 2024 Accepting new patients
Angelic Health Practice Group CurrentSince May 7, 2024 Accepting new patients
Angelic Health Practice Group Hospice and Palliative Medicine CurrentSince Mar 12, 2024 Accepting new patients
Lilycare of New Hampshire LLC PastSince Oct 1, 2023 Accepting new patients
Thi of Pennsylvania at Samaritan Hospice, LLC PastSince Aug 15, 2017 Accepting new patients
Thi of PA at Samaritan Hospice Past Accepting new patients
Evercare Hospice, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dr. John Trzesniowski LLC Past Accepting new patients
NE Phila Med LTD Internal Medicine PastSince Jul 1, 2008 Accepting new patients

Locations

8025 Black Horse Pike
Ste 501
Pleasantville, NJ 08232
Phone (609) 464-1135

486 Norristown Rd
Ste 133B
Blue Bell, PA 19422
Phone (267) 995-4086

41 University Dr
Ste 103
Newtown, PA 18940
Phone (267) 569-0760

2301 E Allegheny Ave
Ste 1
Philadelphia, PA 19134
Phone (215) 291-3107

2925 E Thompson St
Philadelphia, PA 19134
Phone (215) 291-3107

6810 Frankford Ave
Fl 1
Philadelphia, PA 19135
Phone (215) 624-1425

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Sunapee Region Vna & HospiceNew London, NH, CCN 307040 Home health agency Corporate Director Mar 8, 2023
Lake Sunapee Regional Vna and HospiceNew London, NH, CCN 301509 Hospice Corporate Director Mar 8, 2023
St. Mary HospiceNewtown, PA, CCN 731519 Hospice W-2 Managing Employee Oct 24, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1629034905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CHESTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572525",
            "telephone_number": "856-996-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 BLACK HORSE PIKE STE 501",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322967",
            "telephone_number": "609-822-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBRUZZI",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09768400",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009203L",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NH",
            "license": "22443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE IBC",
            "identifier": "0643575000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5332581",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016965000005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016965000001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30067582",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "44086OS009203L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "352310",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.