Joseph Michael Ardolino, MD is a medicare enrolled "Internal Medicine" physician in Cliffside Pk, New Jersey. His current practice location is
377 Highland Ave, Cliffside Pk, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 945-2390.
Joseph Michael Ardolino is licensed to practice in New Jersey (license number MA56772) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275759516.
Physician's Profile
| Full Name | Joseph Michael Ardolino |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 377 Highland Ave, Cliffside Pk, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275759516
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779532171
- Enrollment ID: I20050112000780
Medical Identifiers
Medical identifiers for Joseph Michael Ardolino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275759516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MA56772 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joseph Michael Ardolino allows following entities to bill medicare on his behalf.
| Entity Name | Primary Care Medical Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134386410
PECOS PAC ID: 6305850249
Enrollment ID: O20060131000554 |
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| Entity Name | Medical Board Prep Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578861787
PECOS PAC ID: 2668657859
Enrollment ID: O20110504000029 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph Michael Ardolino is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Joseph Michael Ardolino, MD
377 Highland Ave,
Cliffside Pk, NJ 07010
Ph: (201) 945-2390 | Joseph Michael Ardolino, MD
377 Highland Ave,
Cliffside Pk, NJ 07010
Ph: (201) 945-2390 |
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