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ANTHONY C TROIANO APN-C
NPI 1609630516
Nurse Practitioner - Family in Northfield, NJ

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment
39 E VERNON AVE, NORTHFIELD, NJ 08225(609) 425-3470 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony C Troiano Apn-c NPPES

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

ANTHONY C TROIANO APN-C (NPI 1609630516) is an individual family provider in Northfield, New Jersey, licensed in New Jersey (26NJ14976000) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609630516
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY C TROIANOCredential: APN-C
Location Address39 E VERNON AVENorthfield, NJ 08225-2459
Mailing Address39 E Vernon AveNorthfield, NJ 08225-2459 · (609) 425-3470
Phone(609) 425-3470
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1609630516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ14976000
39 E VERNON AVE, Northfield, NJ 08225
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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

Anthony C Troiano Apn-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 ID1052750940
PECOS Enrollment IDI20240411001407
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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
128 services110 patients
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.
75 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

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 08225 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
$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.

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 Anthony Troiano's NPI number?

The NPI number for Anthony Troiano is 1609630516. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Anthony Troiano located?

Anthony Troiano practices at 39 E Vernon Ave, Northfield, NJ 08225. The listed phone number is (609) 425-3470.

What is Anthony Troiano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anthony Troiano enrolled in Medicare?

Yes. Anthony Troiano 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 Anthony Troiano accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Anthony Troiano 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 Anthony Troiano affiliated with any hospitals?

According to CMS data, Anthony Troiano is affiliated with Shore Medical Center and Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Anthony Troiano was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.