Physician Compare National (NPI:1003874397)

HEALTHCARE PROVIDER: JOSEPH M FOLLO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003874397
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850464405
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080716000045
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FOLLO
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	616 BLOOMFIELD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	3D
	Group Practice or individual's line 2 address
City	WEST CALDWELL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070067585
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9732272272
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310073
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JERSEY SHORE UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310054
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HACKENSACKUMC MOUNTAINSIDE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y