Individual provider Active NPI

John Vaccaro, M.D.

  • Plastic Surgery Physician
  • Toms River, NJ
National Provider Identifier
1861463267
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA03536400 Issued in NJ
Practice address
202 Route 37 W
Suite 1a
Toms River, NJ 08755-8055
Phone
(732) 914-2100
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA03536400 NJ Primary

Addresses

Primary practice location

202 Route 37 W
Suite 1a
Toms River, NJ 08755-8055

Mailing address

PO Box 1659
Brick, NJ 08723-1062
Phone (732) 941-2100

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
I20051012000291 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6608891320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

202 Route 37 W
Suite 1a
Toms River, NJ 08755-8055
Phone (732) 914-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John J Vaccaro MD P a CurrentSince Mar 1, 2007 Accepting new patients

Locations

202 Route 37 W
Ste 1A
Toms River, NJ 08755
Phone (732) 914-2100

202 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 914-2100

Organizations & group practices 1

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 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1861463267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1659",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087231062",
            "telephone_number": "732-941-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROUTE 37 W",
            "address_2": "SUITE 1A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558055",
            "telephone_number": "732-914-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA03536400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.