Active NPI
Valentina Suzanna Pecoraro, MD
- Family Medicine Physician
- Brick, NJ
National Provider Identifier
1629531165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA11647800
- Practice address
- 495 Jack Martin Blvd Ste 5
Brick, NJ 08724-7778 - Phone
- (732) 458-8000
- Fax
- (732) 458-8020
- NPI assigned
- Apr 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 25MA11647800 | NJ | Primary |
Addresses
Primary practice location
495 Jack Martin Blvd Ste 5
Brick, NJ 08724-7778
Mailing address
331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 776-4283
985 Cedar Bridge Ave
Brick, NJ 08723-4167
Phone (732) 477-5600
Hospital & facility affiliations
- Hackensack Meridian at Home Ocean County
- Ocean Medical Center
- Jersey Shore University Medical Center
- Monmouth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11647800 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Family Medicine | Current | Accepting new patients |
| Jersey Coast Family Medicine LLC | Family Medicine | Current | Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 5
Brick, NJ 08724
Phone (732) 458-8000
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
Interoperability endpoints
- https://api.platform.athenahealth.com/2624/brand/1/csg/1/fhir/r4
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 2
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
- Red Bank, NJ
- NPI 1336203538
-
- Family Medicine Physician
- Brick, NJ
- NPI 1750564209
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brick, NJ
- NPI 1376638064
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1629531165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 JACK MARTIN BLVD STE 5",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247778",
"telephone_number": "732-458-8000",
"fax_number": "732-458-8020"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECORARO",
"first_name": "VALENTINA",
"middle_name": "SUZANNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA11647800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.