DR. ROSEMARIE DESANTIS M.D.
NPI 1336112606
Internal Medicine - Rheumatology in Manahawkin, NJ

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
1322 ROUTE 72 W STE 201, MANAHAWKIN, NJ 08050(609) 597-4178 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rosemarie Desantis M.d. NPPES

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

DR. ROSEMARIE DESANTIS M.D. (NPI 1336112606) is an individual rheumatology provider in Manahawkin, New Jersey, licensed in New Jersey (MA06714000) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1336112606
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ROSEMARIE DESANTISCredential: M.D.
Location Address1322 ROUTE 72 W STE 201Manahawkin, NJ 08050-2486
Mailing Address1322 Route 72 W Ste 201Manahawkin, NJ 08050-2486 · (609) 597-4178
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
✔ NPI 1336112606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NJ · MA06714000
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1322 ROUTE 72 W STE 201, Manahawkin, NJ 08050

Other Identifiers 6

Other2K1427NJ · Healthnet
OtherP2734040NJ · Oxford
Other0033889NJ · Ghi
Other660003915NJ · Railroad Medicare
Other223360408-061NJ · Qualcare
Medicaid9056602NJ

Accepted 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. Rosemarie Desantis 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 ID5092744177
PECOS Enrollment IDI20050809000605
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

2

Medicare enrollment records show Rosemarie Desantis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group

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 25

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
62,000 services17 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
9,000 services11 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
7,975 services13 patients
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.
7,860 services78 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
5,890 services19 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,362 services141 patients

Hospital Affiliations CMS Care Compare 2

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES

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

Internal Medicine (Rheumatology)
1322 ROUTE 72 W STE 201
MANAHAWKIN, NJ 08050

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 Rosemarie Desantis's NPI number?

The NPI number for Rosemarie Desantis is 1336112606. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Rosemarie Desantis located?

Rosemarie Desantis practices at 1322 Route 72 W Ste 201, Manahawkin, NJ 08050. The listed phone number is (609) 597-4178.

What is Rosemarie Desantis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Rosemarie Desantis enrolled in Medicare?

Yes. Rosemarie Desantis 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 Rosemarie Desantis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosemarie Desantis reassigns Medicare benefits to 2 organizations: Optum Medical Care Of New Jersey PC (New Hyde Park, NY) and The Radiology Group Of New Jersey, LLC (Hackettstown, 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 Rosemarie Desantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosemarie Desantis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rosemarie Desantis 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 Rosemarie Desantis affiliated with any hospitals?

According to CMS data, Rosemarie Desantis is affiliated with Community Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Rosemarie Desantis was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.