Individual provider Active NPI

Paul J Demartino, MD

  • Gastroenterology Physician
  • Toms River, NJ
National Provider Identifier
1922104827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA59618 Issued in NJ
Practice address
368 Lakehurst Rd
Suite 205
Toms River, NJ 08755
Phone
(732) 914-8282
Fax
(732) 914-8285
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Gastroenterology Physician 207RG0100X MA59618 NJ Primary

Addresses

Primary practice location

368 Lakehurst Rd
Suite 205
Toms River, NJ 08755

Mailing address

368 Lakehurst Rd
Suite 205
Toms River, NJ 08755
Phone (732) 914-8282

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
I20110325000759 NJ Practitioner - Gastroenterology 4183713936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

129 Route 37 W
Toms River, NJ 08755-6435
Phone (732) 797-3960

368 Lakehurst Rd
Suite 205
Toms River, NJ 08755-7339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy221
Upper gastrointestinal (GI) endoscopy for acid reflux268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59618NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Gastroenterology,PC CurrentSince Aug 16, 1993 Accepting new patients

Locations

129 Route 37 W
Toms River, NJ 08755
Phone (732) 797-3960

368 Lakehurst Rd
Ste 205
Toms River, NJ 08755
Phone (732) 914-8282

Interoperability endpoints

  • Direct secure messaging: pdemartino153420@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922104827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 LAKEHURST RD",
            "address_2": "SUITE 205",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-914-8282",
            "fax_number": "732-914-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 LAKEHURST RD",
            "address_2": "SUITE 205",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-914-8282",
            "fax_number": "732-914-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINO",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA59618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.