Active NPI
Tobi Ippolito, M.D.
- Internal Medicine Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA06608700
- Practice address
- 75 E Northfield Rd
Livingston, NJ 07039-4532 - Phone
- (973) 436-1460
- Fax
- (973) 422-9390
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA06608700 | NJ | Primary |
Addresses
Primary practice location
75 E Northfield Rd
Livingston, NJ 07039-4532
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (732) 321-1100
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
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
206 Bergen Ave
Suite 208
Kearny, NJ 07032-3387
Phone (201) 948-5879
222 Columbia Tpke
Florham Park, NJ 07932-1299
Phone (973) 322-4549
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA06608700 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Rwjbh Primary Care Services | Internal Medicine | Current | Accepting new patients |
| Mitchell J. Mutterperl Mdpa | Internal Medicine | Past | Accepting new patients |
Locations
222 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 261-9077
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
206 Bergen Ave
Ste 208
Kearny, NJ 07032
Phone (201) 948-5879
25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- tobi.ippolito@direct.carepointhealth.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.
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
-
- Internal Medicine Physician
- Bayonne, NJ
- NPI 1538299367
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atlantic Home Care & Hospice
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- Skilled Nursing Facility
- West Orange, NJ
- NPI 1912276882
Nursing home
-
dba Barnabas Health Home Care and Hospice
- Home Health Agency
- West Orange, NJ
- NPI 1841302254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1659401636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "732-321-1100",
"fax_number": "201-858-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E NORTHFIELD RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394532",
"telephone_number": "973-436-1460",
"fax_number": "973-422-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPPOLITO",
"first_name": "TOBI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA06608700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.