Alan Herbert Faustino, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA07168000 Issued in NJ

Practice address

1616 Pacific Ave
Suite 212
Atlantic City, NJ 08401-6939

Phone

(609) 498-7220

Fax

(185) 527-1739

NPI assigned

Aug 9, 2006

Last updated

Jun 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Internal Medicine

Education

Eastern Virginia Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• NJR Healthcare PC

  • Primary Care Clinic/Center
  • Atlantic City, NJ
  • NPI 1134399447
  Authorized official Same address or phone
• Atlanticare Health Services, Inc.

  dba T.E.A.M. Diabetes

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1477799294
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1669482568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 PACIFIC AVE",
            "address_2": "SUITE 212",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016939",
            "telephone_number": "609-498-7220",
            "fax_number": "185-527-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PACIFIC AVE",
            "address_2": "SUITE 212",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016939",
            "telephone_number": "609-498-7220",
            "fax_number": "185-527-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUSTINO",
        "first_name": "ALAN",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA07168000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Farhan, MD
• Marie Farnsworth
• Mohammad Ahmad Hassan Farooq, MD
• Michael Domenic Farreny, PMHNP
• Viviana Faunce, AGPCNP-BC
• Helene E Fedele, ACNP
• Caroline Feinberg
• Jenna Feldman, DO
• Phillip Charles Feliciano, MD
• Valerie Feltwell

• General Practice Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.

Verify at the official NPI Registry.