NPIMap

Individual provider Active NPI

Petronilo Lizardo Seares Jr., M.D.

  • Internal Medicine Physician
  • Brick, NJ
National Provider Identifier
1831135110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA053878 Issued in NJ
Practice address
35 Beaverson Blvd
Suite 7B
Brick, NJ 08723-7812
Phone
(732) 262-2400
Fax
(732) 262-3883
NPI assigned
Jun 22, 2006
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 MA053878 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd
Suite 7B
Brick, NJ 08723-7812

Mailing address

35 Beaverson Blvd
Suite 7B
Brick, NJ 08723-7812
Phone (732) 262-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000224 NJ Practitioner - Internal Medicine 7810931128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Petronilo L Seares Jr MD LLCGroup PAC ID 7810064938, 2 clinicians
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

35 Beaverson Blvd
Suite 7B
Brick, NJ 08723-7860
Phone (732) 262-2400

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053878NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office Force Internal Medicine CurrentSince Feb 9, 2022 Accepting new patients
Petronilo L Seares Jr MD LLC Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

35 Beaverson Blvd
Ste 7B
Brick, NJ 08723
Phone (732) 262-2400

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.

Hospital & facility affiliations 10

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831135110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 7B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-262-2400",
            "fax_number": "732-262-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "SUITE 7B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-262-2400",
            "fax_number": "732-262-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARES",
        "first_name": "PETRONILO",
        "middle_name": "LIZARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA053878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.