Individual provider Active NPI

Joel Peter Jannone, MD

  • Internal Medicine Physician
  • Forked River, NJ
National Provider Identifier
1811911225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03643200 Issued in NJ
Practice address
801 Lacey Road
Forked River, NJ 08731-1301
Phone
(609) 242-0040
Fax
(609) 242-1019
NPI assigned
Jul 27, 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
Internal Medicine Physician 207R00000X 25MA03643200 NJ Primary

Addresses

Primary practice location

801 Lacey Road
Forked River, NJ 08731-1301

Mailing address

801 Lacey Road
Forked River, NJ 08731-1301
Phone (609) 242-0040

Other identifiers 1

IdentifierTypeStateIssuer
1332104MedicaidNJ

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
I20090220000199 NJ Practitioner - Internal Medicine 5092776682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03643200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Oct 1, 2021 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Jul 14, 2018 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Oct 1, 2021 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Haven Behavioral Health, LLC PastSince Apr 25, 2022 Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

731 Lacey Rd
Ste 1
Forked River, NJ 08731
Phone (609) 242-0040

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

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

  • Direct secure messaging: joel.jannone.p1@direct.vnahg.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811911225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LACEY ROAD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311301",
            "telephone_number": "609-242-0040",
            "fax_number": "609-242-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LACEY ROAD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311301",
            "telephone_number": "609-242-0040",
            "fax_number": "609-242-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNONE",
        "first_name": "JOEL",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03643200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1332104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.