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GREGORY BLASE PERSICHETTI D.O.
NPI 1518901925
Dermatology - MOHS-Micrographic Surgery in Sewell, NJ

Active since June 15, 2006PECOS Enrolled
100 KINGS WAY E, SUITE A-3, SEWELL, NJ 08080(856) 589-3331(856) 589-3416 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Blase Persichetti D.o. NPPES

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

GREGORY BLASE PERSICHETTI D.O. (NPI 1518901925) is an individual mohs-micrographic surgery provider in Sewell, New Jersey, licensed in New Jersey (25MB08242000) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518901925
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameGREGORY BLASE PERSICHETTICredential: D.O.
Location Address100 KINGS WAY E, SUITE A-3Sewell, NJ 08080-2237
Mailing Address100 Kings Way E, Suite A-3Sewell, NJ 08080-2237 · (856) 589-3331 · Fax (856) 589-3416
Phone(856) 589-3331
Fax(856) 589-3416
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 3, 2015
✔ NPI 1518901925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Licenses✔ Licensed in NJ · 25MB08242000✔ Licensed in PA · 08012552
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
100 KINGS WAY E, Sewell, NJ 08080
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN116873

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Blase Persichetti D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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 18

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

TRACEY GREGORY RRT
Respiratory Therapist, Certified (Pulmonary Rehabilitation)
100 KINGS WAY E
SEWELL, NJ 08080
Gloucester County (856) 256-0007
DR. TARAL SHAH DPM
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
JULAINE MILLER DPM
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
ADVANTAGE SLEEP CENTERS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
100 KINGS WAY E
SEWELL, NJ 08080
Gloucester County (856) 256-0007
CORNERSTONE FOOT & ANKLE
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
DR. FRANK OWARE DPM
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 506-2950
STC PEDIATRICS LLC
Pediatrics (Pediatric Pulmonology)
100 KINGS WAY E
SEWELL, NJ 08080
Gloucester County (215) 427-5000

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 Gregory Persichetti's NPI number?

The NPI number for Gregory Persichetti is 1518901925. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Gregory Persichetti located?

Gregory Persichetti practices at 100 Kings Way E Suite A-3, Sewell, NJ 08080. The listed phone number is (856) 589-3331.

What is Gregory Persichetti's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Gregory Persichetti enrolled in Medicare?

Yes. Gregory Persichetti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Persichetti was last updated on December 3, 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.