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JOSEPH JAMES SANTORA JR.
NPI 1437418571
Hospitalist in Newark, DE

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1000 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph James Santora Jr. NPPES

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

JOSEPH JAMES SANTORA JR. (NPI 1437418571) is an individual hospitalist provider in Newark, Delaware, licensed in New Jersey (25MB09708400) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Philadelphia College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1437418571
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOSEPH JAMES SANTORA JR.
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-0001
Mailing Address2 Alfred AveWilmington, DE 19805-2028 · (302) 530-2452
Phone(302) 733-1000
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateAugust 10, 2015
✔ NPI 1437418571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MB09708400
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
4755 OGLETOWN STANTON RD, Newark, DE 19718
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph James Santora Jr. 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 ID4183847718
PECOS Enrollment IDI20150827002718
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 4

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.
291 services111 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
50 services49 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 4

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier34 claims36 services$86.48 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims23 services$34.31 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$21.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims14 services$34.59 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 20

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

ALICIA RENEE EDELBLUTE PA-C
Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (610) 406-7662
ADEYOYIN R ESAKA FNP
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
New Castle County (302) 623-1929
DR. SEPEHR SEDIGH HAGHIGHAT MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-3901
ZAID A AMMARI M.D. M.P.H.
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MURIEL P JURASEVICH CRNP
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
JOHN ANDREW POLLOCK
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (800) 693-2273
MATTHEW JOSEPH HOMISHAK CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MR. THOMAS MICHAEL CARLSON MSN, CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000

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 Joseph Santora's NPI number?

The NPI number for Joseph Santora is 1437418571. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Joseph Santora located?

Joseph Santora practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1000.

What is Joseph Santora's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Joseph Santora enrolled in Medicare?

Yes. Joseph Santora 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.

What insurance does Joseph Santora accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Joseph Santora 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 Joseph Santora affiliated with any hospitals?

According to CMS data, Joseph Santora is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Joseph Santora was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.