Joseph Ardolino, D.O.
Individual provider Active NPI Psychiatry Physician · Easton, PA
NPI 1639738800 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1639738800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- OT019141 (PA)
- Practice address
- 1700 St Lukes Blvd
Medical Education Office
Easton, PA 18045 - Phone
- (484) 526-1000
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Lukes Warren Physician Group PC
St Lukes Physician Group Inc
Practice addresses (Care Compare)
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212
257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 526-2400
Hospital & facility affiliations
- St Luke'S Warren Hospital
- St Lukes Hospital
- St Luke'S Hospital - Easton Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220406000627 | PA | Practitioner - Psychiatry | 0446588735 | Reassigns benefits to 1 organization |
| I20240124001712 | NJ | Practitioner - Psychiatry | 0446588735 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Single Specialty | Current | Accepting new patients |
| St Luke'S Physician Group Inc | Single Specialty | Current |
Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Single Specialty | Current |
Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Single Specialty | Current | Accepting new patients |
| St. Luke'S Warren Physician Group, PC | Current |
Accepting new patients | |
| St Luke'S Physician Group Inc | Psychiatry | Current |
Accepting new patients |
Locations
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057
1700 St Lukes Blvd
Ofc
Easton, PA 18045
Phone (484) 356-5048
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- joseph.ardolino@slpg.direct-sluhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | OT019141 | PA | Yes |
Addresses
Primary practice location
1700 St Lukes Blvd
Medical Education Office
Easton, PA 18045
Mailing address
1700 St Lukes Blvd
Medical Education Office
Easton, PA 18045-5670
Phone (484) 526-1000
Other providers in Easton, PA
- Theresa Applegarth
- Joseph Wolfgang Aquilina
- Sara B Aquino
- Amanda Archangel Davis
- Janice Anne Ardilla
- Kami Michelle Arfanella
- Laura Beth Armbrecht
- Kate Arner
- Caitlin Marie Arnone
- Joseph Jude Arnone
All providers in Easton, PA · Psychiatry Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.