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ROSENIO R MEDENILLA M.D.
NPI 1699857011
Family Medicine in Manahawkin, NJ

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
1301 ROUTE 72 W, SUITE 240, MANAHAWKIN, NJ 08050(609) 597-7394(609) 597-6833 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosenio R Medenilla M.d. NPPES

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

ROSENIO R MEDENILLA M.D. (NPI 1699857011) is an individual family medicine provider in Manahawkin, New Jersey, licensed in New Jersey (MA67504) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1699857011
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROSENIO R MEDENILLACredential: M.D.
Location Address1301 ROUTE 72 W, SUITE 240Manahawkin, NJ 08050-2417
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792
Phone(609) 597-7394
Fax(609) 597-6833
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 19, 2006
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1699857011 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 · MA67504
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.
1301 ROUTE 72 W, Manahawkin, NJ 08050
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Other Identifiers 2

MedicaidMA67504NJ
Other223016655NJ · Tax Id

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

Rosenio R Medenilla M.d. 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 ID1557382595
PECOS Enrollment IDI20101019001366
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 5

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.
445 services285 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.
132 services97 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
52 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
49 services48 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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 08050 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
13 suppliers44 claims115 services$5.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers22 claims27 services$0.97 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers12 claims200 services$3.03 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers18 claims2,691 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers18 claims18 services$195.02 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 20

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

SELECT DENTAL MANAHAWKIN, PA
Dentist (General Practice)
1301 ROUTE 72 W, UNIT 230
MANAHAWKIN, NJ 08050
Ocean County (609) 597-1234
MRS. DANA FELICIA PRATOLA MSN, APN
Nurse Practitioner (Adult Health)
1301 ROUTE 72 W, SUITE 340
MANAHAWKIN, NJ 08050
Ocean County (609) 597-0547
FRANK C LABUE MD
Internal Medicine (Gastroenterology)
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
HELIO J MALINVERNI MD
Internal Medicine (Cardiovascular Disease)
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
HEALTH VILLAGE IMAGING, LLC
Clinic/Center (Radiology)
1301 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 978-8900
KAREN L KISS NPC
Nurse Practitioner
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
MEDICAL ASSOCIATES OF OCEAN COUNTY PA
Internal Medicine
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
DR. MELISSA REYNON MD
Internal Medicine (Gastroenterology)
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513

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 Rosenio Medenilla's NPI number?

The NPI number for Rosenio Medenilla is 1699857011. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Rosenio Medenilla located?

Rosenio Medenilla practices at 1301 Route 72 W Suite 240, Manahawkin, NJ 08050. The listed phone number is (609) 597-7394.

What is Rosenio Medenilla's specialty?

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

Is Rosenio Medenilla enrolled in Medicare?

Yes. Rosenio Medenilla 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.

Is Rosenio Medenilla affiliated with any hospitals?

According to CMS data, Rosenio Medenilla is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Rosenio Medenilla was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.