Active NPI
Anthony J Passannante Jr., M.D.
- Cardiovascular Disease Physician
- Somerset, NJ
National Provider Identifier
1821094558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA42294
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1471902 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120111000288 | NJ | Practitioner - Cardiovascular Disease (Cardiology) | 0244210862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42294 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S Healthcare System Physician Associates | Past | Accepting new patients | |
| Saint Peter'S Advanced Care, PC | Past | 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.
-
- Orthopaedic Surgery Physician
- New Brunswick, NJ
- NPI 1205224235
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.