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DR. JOSEPH LOUIS GUGLIOTTA MD
NPI 1619949575
Internal Medicine - Infectious Disease in Flemington, NJ

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
80.48/100
CMS Quality Rating
121 STATE ROUTE 31 STE 300, FLEMINGTON, NJ 08822(908) 788-6474(908) 788-6616 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Joseph Louis Gugliotta Md NPPES

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

DR. JOSEPH LOUIS GUGLIOTTA MD (NPI 1619949575) is an individual infectious disease provider in Flemington, New Jersey, licensed in New Jersey (25MA04287200) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1974).

NPPES Registry Identity

NPI1619949575
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JOSEPH LOUIS GUGLIOTTACredential: MD
Location Address121 STATE ROUTE 31 STE 300Flemington, NJ 08822-5744
Mailing Address121 State Route 31 Ste 300Flemington, NJ 08822-5744 · (908) 788-6474 · Fax (908) 788-6616
Phone(908) 788-6474
Fax(908) 788-6616
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1974
Enumeration DateFebruary 6, 2006
Last NPPES UpdateNovember 7, 2019
✔ NPI 1619949575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA04287200
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
121 STATE ROUTE 31 STE 300, Flemington, NJ 08822
Open in Google Maps ↗

Other Identifiers 1

Medicaid1738500NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Joseph Louis Gugliotta Md 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 ID7416982053
PECOS Enrollment IDI20051003000089
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 Reassignment

Medicare enrollment records show Joseph Gugliotta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hunterdon Specialty Care, PC
Same address
Urology
121 HIGHWAY 31, SUITE 1200
Flemington, NJ 08822
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
NPI 1124499041 (908) 782-0019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
317 services144 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
76 services76 patients
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.
47 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.86
Promoting Interoperability100
Improvement Activities40
Cost52.09

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.

EZZA ASLAM KHAN MD
Internal Medicine (Infectious Disease)
121 STATE ROUTE 31 STE 300
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6474
DR. SOHAIL G HADDAD M.D
Internal Medicine (Infectious Disease)
121 STATE ROUTE 31 STE 300
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6474
AMNA YAQUB MB,BS
Internal Medicine (Infectious Disease)
121 STATE ROUTE 31 STE 300
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6474

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 Gugliotta's NPI number?

The NPI number for Joseph Gugliotta is 1619949575. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Joseph Gugliotta located?

Joseph Gugliotta practices at 121 State Route 31 Ste 300, Flemington, NJ 08822. The listed phone number is (908) 788-6474.

What is Joseph Gugliotta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Joseph Gugliotta enrolled in Medicare?

Yes. Joseph Gugliotta 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 organization bills Medicare for Joseph Gugliotta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gugliotta reassigns Medicare benefits to Hunterdon Specialty Care, PC (Flemington, NJ). The 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 Joseph Gugliotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Gugliotta accept?

Health plans from Oscar Health list Joseph Gugliotta 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 Gugliotta affiliated with any hospitals?

According to CMS data, Joseph Gugliotta is affiliated with Hunterdon Medical Center and St Luke's Warren Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Gugliotta was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.