Individual provider Active NPI

Anthony M Sparano, M.D.

  • Otolaryngology Physician
  • Manasquan, NJ
National Provider Identifier
1992861850
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA08401400 Issued in NJ
Practice address
2331 Highway 34
BLG 1 Suite 118
Manasquan, NJ 08736-1423
Phone
(732) 280-3223
Fax
(732) 280-2626
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT180616 PA
Otolaryngology Physician 207Y00000X 25MA08401400 NJ Primary
Otolaryngology Physician 207Y00000X 4301089070 MI

Addresses

Primary practice location

2331 Highway 34
BLG 1 Suite 118
Manasquan, NJ 08736-1423

Mailing address

2331 Highway 34
Manasquan, NJ 08736-1423
Phone (732) 280-3223

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
I20080710000495 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3678592235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2331 Hwy 34
Manasquan, NJ 08736-1423
Phone (732) 280-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT180616PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparano Face and Nasal Institute CurrentSince Jan 3, 2011 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients

Locations

2331 Highway 34
Manasquan, NJ 08736
Phone (732) 270-3223

2331 Highway 34
Ste 118
Manasquan, NJ 08736
Phone (732) 280-3223

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1992861850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 HIGHWAY 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361423",
            "telephone_number": "732-280-3223",
            "fax_number": "732-280-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 HIGHWAY 34",
            "address_2": "BLG 1 SUITE 118",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361423",
            "telephone_number": "732-280-3223",
            "fax_number": "732-280-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARANO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT180616",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA08401400",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301089070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.