Healthcare Provider Details

I. General information

NPI: 1619361011
Provider Name (Legal Business Name): LUIGI U BARETTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 BETHEL RD
SOMERS POINT NJ
08244-2189
US

IV. Provider business mailing address

419 BETHEL RD
SOMERS POINT NJ
08244-2189
US

V. Phone/Fax

Practice location:
  • Phone: 609-365-2057
  • Fax: 609-365-2106
Mailing address:
  • Phone: 609-365-2057
  • Fax: 609-365-2106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA10291200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: