Provider Demographics
NPI:1851464143
Name:RANIERI, JOSEPH N (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:N
Last Name:RANIERI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 GANTTOWN RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2341
Mailing Address - Country:US
Mailing Address - Phone:856-270-2053
Mailing Address - Fax:
Practice Address - Street 1:438 GANTTOWN RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2341
Practice Address - Country:US
Practice Address - Phone:856-270-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06064000207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0716650000OtherAMERIHEALTH HMO
PA28077OtherAMERIHEALTH PPO PABS
PA28077OtherPENNSYLVANIA BLUE SHIELD
NJ6180507Medicaid
NJ1185457OtherCIGNA
NJ1494484OtherUNITED HEALTH CARE
NJGLP061OtherOXFORD HEALTH PLAN
NJ010005993OtherAMERICHOICE
NJ3469389OtherAETNA USHEALTHCARE
NJ3K6161OtherHEALTHNET, INC
NJ60005501OtherHORIZON- NJ HEALTH
NJ66089OtherOPERATING ENGINEERS
NJ115306900OtherUS DEPARTMENT OF LABOR (OWCP
NJ41023OtherUNIVERSITY HEALTH CARE
NJP00119094OtherRAILROAD MEDICARE
NJ3K6161OtherHEALTHNET, INC
NJ033044Medicare PIN