Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ralph Victor Guarino, MD

Individual provider Internal Medicine Physician · NPI 1134140767

Dr. Ralph Victor Guarino, MD practises Internal Medicine in Toms River, New Jersey. Qualified in 1980, 46 years ago. Practices with Deer Chase Medical Associates PA, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
46
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 State Highway 37 W Ste A Deer Chase Professional Park
Toms River, NJ 08755-8056 Not confirmed with CMS for 19 years — call before visiting
Phone: (732) 286-0440
Fax: (732) 286-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA04501400 (NJ)

Record details

NPI number1134140767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Deer Chase Medical Associates Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients954
Services billed 5,365 a service is one billed item, such as a visit, a test or a procedure
Average patient age81

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $3,480 80 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Community Medical Center Hospital · Toms River, NJ · listed as Community Medical Center Inc
  • Ocean Medical Center Hospital · Brick, NJ
  • Bayada Home Health Care, Inc Home health agency · Whiting, NJ
  • Hackensack Meridian At Home Ocean County Home health agency · Brick, NJ
  • Visiting Nurse Association Of Central Jersey Home Care And Hospice Home health agency · Toms River, NJ

Colleagues at Deer Chase Medical Associates PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Toms River