Individual provider Active NPI

Jon W Slotoroff, DO

  • Internal Medicine Physician
  • Pleasantville, NJ
National Provider Identifier
1760565071
Registry record updated Nov 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB32790 Issued in NJ
Practice address
48 Ansley Blvd
Seashore Medical Assoc
Pleasantville, NJ 08232-3058
Phone
(609) 641-1077
Fax
(609) 641-1023
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB32790 NJ Primary

Addresses

Primary practice location

48 Ansley Blvd
Seashore Medical Assoc
Pleasantville, NJ 08232-3058

Mailing address

48 Ansley Blvd
Pleasantville, NJ 08232-3058
Phone (609) 641-1077

Other identifiers 1

IdentifierTypeStateIssuer
1818902MedicaidNJ

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
I20100524000186 NJ Practitioner - Internal Medicine 1951470038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

48 Ansley Blvd
Pleasantville, NJ 08232-3058
Phone (609) 641-1077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB32790NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA CurrentSince Dec 5, 2011 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 5, 2011 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

48 Ansley Blvd
Pleasantville, NJ 08232
Phone (609) 641-1077

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 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259280000000",
    "number": "1760565071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ANSLEY BLVD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323058",
            "telephone_number": "609-641-1077",
            "fax_number": "609-641-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ANSLEY BLVD",
            "address_2": "SEASHORE MEDICAL ASSOC",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323058",
            "telephone_number": "609-641-1077",
            "fax_number": "609-641-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTOROFF",
        "first_name": "JON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB32790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1818902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.