Individual provider Active NPI

Joseph Anthony Ippolito, MD

  • Orthopaedic Surgery Physician
  • Newark, NJ
National Provider Identifier
1639602196
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA11787200 Issued in NJ
Practice address
90 Bergen St
Suite 7300
Newark, NJ 07103-2425
Phone
(973) 972-3860
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA11787200 NJ Primary

Addresses

Primary practice location

90 Bergen St
Suite 7300
Newark, NJ 07103-2425

Mailing address

140 Bergen St # D1772
Newark, NJ 07103-2425
Phone (973) 972-6179

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 834-3531

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
I20231012002371 NJ Practitioner - Orthopedic Surgery 8426403312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

205 S Orange Ave
Suite 1200
Newark, NJ 07103-2785
Phone (973) 972-2151

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11787200NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc CurrentSince Sep 4, 2023 Accepting new patients
University Physician Associates of New Jersey Inc Orthopaedic Surgery CurrentSince Sep 4, 2023 Accepting new patients
University Hospital Past Accepting new patients

Locations

90 Bergen St
Ste 7300
Newark, NJ 07103
Phone (973) 972-3860

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

205 S Orange Ave
#1200
Newark, NJ 07103
Phone (973) 972-2151

205 S Orange Ave
Ste 1200
Newark, NJ 07103
Phone (973) 972-2151

140 Bergen St
#D1772
Newark, NJ 07103

Interoperability endpoints

  • Direct secure messaging: jippolito246709@epicdirect.rwjbh.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1639602196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST # D1772",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "address_2": "SUITE 7300",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-834-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA11787200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.