Individual provider Active NPI

Joseph Frank Mussoline, M.D.

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1821084583
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD038372E Issued in PA
Practice address
1637 S Broad St
Philadelphia, PA 19148-1003
Phone
(215) 465-7100
Fax
(215) 463-3550
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD038372E PA Primary
Specialist 174400000X MA04943100 NJ

Addresses

Primary practice location

1637 S Broad St
Philadelphia, PA 19148-1003

Mailing address

1637 S Broad St
Philadelphia, PA 19148-1003
Phone (215) 465-7100

Other identifiers 2

IdentifierTypeStateIssuer
0409419000OtherNJAMERIHEALTH
55507OtherNJUS HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040923000477 PA Practitioner - Ophthalmology 4183692403 Reassigns benefits to 2 organizations
I20101028000436 NJ Practitioner - Ophthalmology 4183692403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians PCGroup PAC ID 8224930201, 13 clinicians

Practice addresses (Care Compare)

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106
Phone (856) 784-3366

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04943100NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group, LLC CurrentSince Jul 27, 2012 Accepting new patients
Campus Eye Group ASC, LLC Current Accepting new patients
Eye Physicians PC CurrentSince Dec 1, 2017 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc CurrentSince Jul 1, 2002 Accepting new patients
Eye Physicians PC CurrentSince Dec 1, 2017 Accepting new patients
Campus Eye Group, LLC CurrentSince Jul 27, 2012 Accepting new patients

Locations

389 Ganttown Rd
Ste G
Sewell, NJ 08080
Phone (856) 589-4545

1700 Whitehorse Hamilton Square Rd
Trenton, NJ 08690
Phone (609) 890-2600

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

1140 White Horse Rd
Ste 1
Voorhees, NJ 08043
Phone (856) 784-3366

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 1540
Philadelphia, PA 19107

840 Walnut St
Ste 1250
Philadelphia, PA 19107
Phone (215) 928-3900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1821084583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481003",
            "telephone_number": "215-465-7100",
            "fax_number": "215-463-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481003",
            "telephone_number": "215-465-7100",
            "fax_number": "215-463-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSOLINE",
        "first_name": "JOSEPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD038372E",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA04943100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0409419000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "55507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.