DR. JOHN FRATTELLONE DMD
NPI 1578535670
Dentist - Oral and Maxillofacial Surgery in Lincroft, NJ

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
515 NEWMAN SPRINGS RD, LINCROFT, NJ 07738(732) 842-5915(732) 842-5910 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Frattellone Dmd NPPES

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

DR. JOHN FRATTELLONE DMD (NPI 1578535670) is an individual oral and maxillofacial surgery provider in Lincroft, New Jersey, licensed in New Jersey (16514) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1578535670
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN FRATTELLONECredential: DMD
Location Address515 NEWMAN SPRINGS RDLincroft, NJ 07738-1426
Mailing Address515 Newman Springs RdLincroft, NJ 07738-1426 · (732) 842-5915 · Fax (732) 842-5910
Fax(732) 842-5910
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1578535670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 16514
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
515 NEWMAN SPRINGS RD, Lincroft, NJ 07738

Other Identifiers 1

Medicaid7521502NJ

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. John Frattellone Dmd 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 ID4082664453
PECOS Enrollment IDI20050125000279
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

3

Medicare enrollment records show John Frattellone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral and Maxillofacial Surgery
515 NEWMAN SPRINGS RD
Lincroft, NJ 07738
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Integrative Medicine
655 SHREWSBURY AVE STE 308
Shrewsbury, NJ 07702
  • Reassigned Medicare billing, New Jersey enrollment
  • 82 clinicians in this Medicare group
Emergency Medicine
1 RIVERVIEW PLZ
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 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.

Hospital Affiliations CMS Care Compare 3

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth 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 07738 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 3

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

Anesthesiology
515 NEWMAN SPRINGS RD
LINCROFT, NJ 07738
Dentist (Oral and Maxillofacial Surgery)
515 NEWMAN SPRINGS RD
LINCROFT, NJ 07738
Dentist
515 NEWMAN SPRINGS RD
LINCROFT, NJ 07738

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 John Frattellone's NPI number?

The NPI number for John Frattellone is 1578535670. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is John Frattellone located?

John Frattellone practices at 515 Newman Springs Rd, Lincroft, NJ 07738. The listed phone number is (732) 842-5915.

What is John Frattellone's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Frattellone enrolled in Medicare?

Yes. John Frattellone 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 John Frattellone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Frattellone reassigns Medicare benefits to 3 organizations: Lincroft Oral And Maxillofacial Surgery (Lincroft, NJ), Toms River Ambulatory Anesthesia LLC (Shrewsbury, NJ) and Ea Health - New Jersey LLC (Red Bank, 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 John Frattellone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Frattellone accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list John Frattellone 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 John Frattellone affiliated with any hospitals?

According to CMS data, John Frattellone is affiliated with Riverview Medical Center, Jersey Shore University Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for John Frattellone was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.