Individual provider Active NPI

James S Paolino, M.D.,F.A.C.R.

  • Specialist
  • Maplewood, NJ
National Provider Identifier
1639192230
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA025728 Issued in NJ
Practice address
2168 Millburn Ave
Suite 205
Maplewood, NJ 07040-2640
Phone
(973) 762-3738
Fax
(973) 762-7878
NPI assigned
Jul 25, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA025728 NJ Primary

Addresses

Primary practice location

2168 Millburn Ave
Suite 205
Maplewood, NJ 07040-2640

Mailing address

2168 Millburn Ave
Suite 205
Maplewood, NJ 07040-2640
Phone (973) 762-3738

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000098 NJ Practitioner - Rheumatology 2860423480 Reassigns benefits to 1 organization
Practice locations: Maplewood, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA025728NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Feb 2, 2019 Accepting new patients
Barnabas Health Medical Group PC Specialist CurrentSince Feb 2, 2019 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

101 Old Short Hills Rd
Ste 106
West Orange, NJ 07052
Phone (973) 322-6256

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1639192230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "address_2": "SUITE 205",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-762-3738",
            "fax_number": "973-762-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "address_2": "SUITE 205",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-762-3738",
            "fax_number": "973-762-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA025728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.