Individual provider Active NPI

Anthony J Passannante Jr., M.D.

  • Cardiovascular Disease Physician
  • Somerset, NJ
National Provider Identifier
1821094558
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA42294 Issued in NJ
Practice address
51 Veronica Ave
Somerset, NJ 08873-3448
Phone
(732) 846-7000
Fax
(732) 846-7001
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA42294 NJ Primary

Addresses

Primary practice location

51 Veronica Ave
Somerset, NJ 08873-3448

Mailing address

51 Veronica Ave
Somerset, NJ 08873-3448
Phone (732) 846-7000

Other identifiers 1

IdentifierTypeStateIssuer
1471902MedicaidNJ

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
I20120111000288 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244210862

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA42294NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S Healthcare System Physician Associates PastSince Jun 16, 2014 Accepting new patients
Saint Peter'S Advanced Care, PC PastSince Feb 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1821094558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-846-7000",
            "fax_number": "732-846-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-846-7000",
            "fax_number": "732-846-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSANNANTE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA42294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.