John P Sersanti, MD,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA07155600 Issued in NJ

Legal business name

JOHN P SERSANTI, MD,PC

Practice address

3 Plaza Dr
Suite 10
Toms River, NJ 08757-3759

Phone

(732) 797-0477

Fax

(732) 797-0644

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

John P Sersanti, MDNPI 1003882697

Title

Owner

Phone

(732) 797-0477

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDGBAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Sersanti, MD

  • Family Medicine Physician
  • Toms River, NJ
  • NPI 1003882697
  Medicare reassignment NPD Authorized official
• Alice Duigon, APN

  • Adult Health Nurse Practitioner
  • Neptune, NJ
  • NPI 1982657284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1932380862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087010899",
            "telephone_number": "732-797-0477",
            "fax_number": "732-797-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "SUITE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573759",
            "telephone_number": "732-797-0477",
            "fax_number": "732-797-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P SERSANTI, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SERSANTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-797-0477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA07155600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7087239",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2373604001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "811776",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2457712",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CARE",
            "identifier": "23342",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8630932",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9756629",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2373606000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Jochheim, MD
• Jodi B Kidz LLC
• Thomas J Joe, D.C.
• Richard Joffe Jr., LCSW
• John J Vaccaro MD P a
• Glen Johnson, PTA
• Lauren Marie Johnson, P.A.C.
• Matthew Johnson, DPT
• Natalie Adele Johnson, PT
• Jomi Partners LLC

• Family Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.