Individual provider Active NPI

Raymond A Adelizzi, DO

  • Rheumatology Physician
  • Stratford, NJ
National Provider Identifier
1770684169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MB03419200 Issued in NJ
Practice address
215 E Laurel Rd
Arthritis Center of South Jersey
Stratford, NJ 08084
Phone
(856) 782-9757
Fax
(856) 782-9224
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MB03419200 NJ Primary

Addresses

Primary practice location

215 E Laurel Rd
Arthritis Center of South Jersey
Stratford, NJ 08084

Mailing address

215 E Laurel Rd
Stratford, NJ 08084
Phone (856) 782-9757

Other identifiers 3

IdentifierTypeStateIssuer
0034993OtherAETNA
0073810000OtherAMERIHEALTH
2185504MedicaidNJ

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
I20050727000532 NJ Practitioner - Internal MedicinePractitioner - Rheumatology 6406884972 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Stratford, NJ; Woodbury, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Philadelphia College of Osteopathic Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology and Arthritis CenterGroup PAC ID 8224464094, 2 clinicians

Practice addresses (Care Compare)

127 N Broad St
Suite 101
Woodbury, NJ 08096-1718
Phone (856) 782-9757

215 E Laurel Rd
Stratford, NJ 08084-1361
Phone (856) 782-9757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology and Arthritis Center Rheumatology CurrentSince Mar 26, 2020 Accepting new patients

Locations

215 E Laurel Rd
Ste 101
Stratford, NJ 08084
Phone (607) 763-6000

127 N Broad St
Ste 101
Woodbury, NJ 08096
Phone (856) 782-9757

17 W Red Bank Ave
Ste 201
Woodbury, NJ 08096
Phone (856) 845-5220

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770684169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "08084",
            "telephone_number": "856-782-9757",
            "fax_number": "856-782-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E LAUREL RD",
            "address_2": "ARTHRITIS CENTER OF SOUTH JERSEY",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "08084",
            "telephone_number": "856-782-9757",
            "fax_number": "856-782-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELIZZI",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MB03419200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0034993",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0073810000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.