JOSEPH M GUARINO DO
NPI 1689681421
Family Medicine in Lawrenceville, NJ

Q: What is Joseph Guarino's NPI number?

The NPI number for Joseph Guarino is 1689681421. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Joseph Guarino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Guarino was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

4056 QUAKERBRIDGE RD STE 101, LAWRENCEVILLE, NJ 08648(609) 528-9150(609) 528-9151 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Joseph M Guarino Do NPPES

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

JOSEPH M GUARINO DO (NPI 1689681421) is an individual family medicine provider in Lawrenceville, New Jersey, licensed in New Jersey (MB58817) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Philadelphia College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1689681421

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSEPH M GUARINOCredential: DO

Location Address4056 QUAKERBRIDGE RD STE 101Lawrenceville, NJ 08648-4779

Mailing Address1345 Kuser Rd, Suite 4Hamilton, NJ 08619 · (609) 581-1878 · Fax (609) 581-2632

Phone(609) 528-9150

Fax(609) 528-9151

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1990

Enumeration DateAugust 2, 2006

Last NPPES UpdateApril 6, 2023

NPPES CertifiedApril 6, 2023

✔ NPI 1689681421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · MB58817

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4056 QUAKERBRIDGE RD STE 101, Lawrenceville, NJ 08648

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Other Identifiers 3

Other114875Amerihealth

Other1021596Horizon Nj Health

Other0232406000Keystone

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 M Guarino Do 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 ID648297762

PECOS Enrollment IDI20120321000318

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 2

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.

128 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 services33 patients

Hospital Affiliations CMS Care Compare

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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.

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.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims28 services$7.12 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 7

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

CLARE GOSEK M.D.

Family Medicine

4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 528-9150

DR. KIMBERLY ANNE LEVITT M.D., M.P.H.

Family Medicine

4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 528-9150

DR. YCE CHUNG M.D.

Family Medicine

4056 QUAKERBRIDGE RD STE 101, CAPITAL HEALTH PRIMARY CARE @ QUAKERBRIDGE
LAWRENCEVILLE, NJ 08648

Mercer County (609) 528-9150

NICOLE M SCHMID DAVIS PAC

Physician Assistant

4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 528-9150

VISHNU ORUGANTI

Internal Medicine

4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 528-9150

DR. NAILA WASTI M.D.

Internal Medicine

4056 QUAKERBRIDGE RD STE 101
LAWRENCEVILLE, NJ 08648

Mercer County (609) 528-9150

DENNIS CHRISTOPHER GUEST DO

Family Medicine

4056 QUAKERBRIDGE RD STE 101
LAWRENCE TOWNSHIP, NJ 08648

Mercer County (609) 528-9150

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 Guarino's NPI number?

The NPI number for Joseph Guarino is 1689681421. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Joseph Guarino located?

Joseph Guarino practices at 4056 Quakerbridge Rd Ste 101, Lawrenceville, NJ 08648. The listed phone number is (609) 528-9150.

What is Joseph Guarino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Guarino enrolled in Medicare?

Yes. Joseph Guarino 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 Guarino accept?

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

According to CMS data, Joseph Guarino is affiliated with Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Joseph Guarino was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.