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DR. THOMAS FRANK PRIOLO MD
NPI 1063918522
Psychiatry & Neurology - Psychiatry in Brick, NJ

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
1610 ROUTE 88 FL 3, BRICK, NJ 08724(732) 295-6543(732) 295-6204 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas Frank Priolo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS FRANK PRIOLO MD (NPI 1063918522) is an individual psychiatry provider in Brick, New Jersey, licensed in New Jersey (25MA11480300) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains a secondary practice location in Neptune.

NPPES Registry Identity

NPI1063918522
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOMAS FRANK PRIOLOCredential: MD
Location Address1610 ROUTE 88 FL 3Brick, NJ 08724-3018
Mailing Address3600 Route 66 Fl 3Neptune, NJ 07753-2645 · (732) 807-0877
Phone(732) 295-6543
Fax(732) 295-6204
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1063918522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA11480300
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1610 ROUTE 88 FL 3, Brick, NJ 08724
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Secondary Practice Location 1

Location 119 Davis Ave Fl 9Neptune, NJ 07753-4488 · Phone (732) 897-3640 · Fax (732) 897-3639

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Frank Priolo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991180283
PECOS Enrollment IDI20220922003406
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Priolo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Urgent Care, PC
15 mi
Urgent Care
315 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
NPI 1285165209 (888) 878-1503
Hackensack Meridian Health Medical Group - Complex Care PC
17 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
17 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
303 services149 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services60 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE CHRISTINA BELLIA PA
Physician Assistant
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6543
BRIANNA ANTONIA MAYS MD
Student in an Organized Health Care Education/Training Program
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6549
BROOKE FALLON DO
Student in an Organized Health Care Education/Training Program
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6549
DR. HUSSIEN ABDEL-LATIEF ABOU-ALI MD
Student in an Organized Health Care Education/Training Program
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6558
STEPHANIE LOUISE CRANE
Student in an Organized Health Care Education/Training Program
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6549
TAZEEN AZFAR M.D
Psychiatry & Neurology (Psychiatry)
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6543
MOHAMED ABURADI MD
Student in an Organized Health Care Education/Training Program
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6556
DR. DIVYA PERIASAMY MD
Psychiatry & Neurology (Psychiatry)
1610 ROUTE 88 FL 3
BRICK, NJ 08724
Ocean County (732) 295-6543

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Priolo's NPI number?

The NPI number for Thomas Priolo is 1063918522. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Thomas Priolo located?

Thomas Priolo practices at 1610 Route 88 Fl 3, Brick, NJ 08724. The listed phone number is (732) 295-6543.

What is Thomas Priolo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Priolo enrolled in Medicare?

Yes. Thomas Priolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Priolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Priolo reassigns Medicare benefits to 3 organizations: Hackensack Meridian Urgent Care, PC (Freehold, NJ), Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Priolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Priolo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas Priolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Priolo affiliated with any hospitals?

According to CMS data, Thomas Priolo is affiliated with Riverview Medical Center, Raritan Bay Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Priolo was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.