DR. RENATO DECENA ALBERTO M.D.
NPI 1245245109
Internal Medicine in Toms River, NJ

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
25 MULE RD, BUILDING A, TOMS RIVER, NJ 08755(732) 240-0404(732) 244-3555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Renato Decena Alberto M.d. NPPES

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

DR. RENATO DECENA ALBERTO M.D. (NPI 1245245109) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25MA03142800) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1245245109
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RENATO DECENA ALBERTOCredential: M.D.
Location Address25 MULE RD, BUILDING AToms River, NJ 08755-5035
Mailing Address25 Mule Rd, Building AToms River, NJ 08755-5035 · (732) 240-0404 · Fax (732) 244-3555
Fax(732) 244-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1245245109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA03142800
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

25 MULE RD, Toms River, NJ 08755

Other Identifiers 4

Other148982Medicare Group
Medicare ID-Type Unspecified108231
Medicare UPIND06915
Medicaid2232308NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Renato Decena Alberto M.d. 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 ID8224211560
PECOS Enrollment IDI20110324000521
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.

Areas of Expertise CMS Part B claims 71

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,280 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
723 services139 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
722 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
711 services141 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
666 services138 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
514 services129 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers29 claims68 services$6.56 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier35 claims35 services$4.86 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier14 claims14 services$4.46 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier18 claims990 services$6.72 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims73,500 services$0.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier16 claims16 services$26.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Radiology)
25 MULE RD, STE B5&B6
TOMS RIVER, NJ 08755
Internal Medicine (Infectious Disease)
25 MULE RD, SUITE B1
TOMS RIVER, NJ 08755
Internal Medicine
25 MULE RD, STE B-10
TOMS RIVER, NJ 08755
Internal Medicine
25 MULE RD, BUILDING A
TOMS RIVER, NJ 08755
Internal Medicine
25 MULE RD, BUILDING A
TOMS RIVER, NJ 08755
Internal Medicine
25 MULE RD, BUILDING A
TOMS RIVER, NJ 08755
Urology
25 MULE RD, SUITE 8
TOMS RIVER, NJ 08755
Internal Medicine
25 MULE RD, B10
TOMS RIVER, NJ 08755

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 Renato Alberto's NPI number?

The NPI number for Renato Alberto is 1245245109. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Renato Alberto located?

Renato Alberto practices at 25 Mule Rd Building A, Toms River, NJ 08755. The listed phone number is (732) 240-0404.

What is Renato Alberto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Renato Alberto enrolled in Medicare?

Yes. Renato Alberto 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.

Is Renato Alberto affiliated with any hospitals?

According to CMS data, Renato Alberto is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Renato Alberto was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.