MR. WILLIAM IPPOLITO PA-C
NPI 1396723011
Physician Assistant - Medical in Wall Township, NJ

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
1825 RTE 35, WALL TOWNSHIP, NJ 07719(732) 280-2600 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. William Ippolito Pa-c NPPES

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

MR. WILLIAM IPPOLITO PA-C (NPI 1396723011) is an individual medical provider in Wall Township, New Jersey, licensed in New Jersey (25MP00072000) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montclair, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1396723011
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WILLIAM IPPOLITOCredential: PA-C
Location Address1825 RTE 35Wall Township, NJ 07719-3541
Mailing Address10 Parsonage Rd 102Edison, NJ 08837-2429 · (732) 662-4680 · Fax (732) 662-3354
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 3, 2006
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
NPI 1396723011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00072000
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00072000 (NJ)
1825 RTE 35, Wall Township, NJ 07719

Secondary Practice Location 1

Location 11 Bay Ave, Evergreen Emergency PhysiciansMontclair, NJ 07042-4837 · Phone (973) 429-6000

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

Mr. William Ippolito Pa-c 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 ID8123033537
PECOS Enrollment IDI20060207000183
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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
275 services268 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
128 services128 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
109 services109 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.
84 services82 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
69 services68 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
50 services49 patients

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Internal Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Emergency Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Clinic/Center (Urgent Care)
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Emergency Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Physician Assistant
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Emergency Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Physician Assistant (Medical)
1825 RTE 35
WALL TOWNSHIP, NJ 07719

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 William Ippolito's NPI number?

The NPI number for William Ippolito is 1396723011. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is William Ippolito located?

William Ippolito practices at 1825 Rte 35, Wall Township, NJ 07719. The listed phone number is (732) 280-2600.

What is William Ippolito's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Ippolito enrolled in Medicare?

Yes. William Ippolito 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.

When was this NPI record last updated?

The NPPES record for William Ippolito was last updated on February 1, 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.