Ralph Victor Guarino, MD
NPI 1134140767ActiveIndividual· Internal Medicine· Toms River, NJ
Internal Medicine (MD) with Ocean Family and Geriatric Associates LLC and 1 other group, practicing in Toms River, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $1,004,924 for 9,506 claims, against $249,578 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 10 companies reporting payments in 2025, $3,480 in all, mostly food and beverage. Lists Community Medical Center as a hospital affiliation.
Overview
| NPI | 1134140767 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA04501400 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 954 |
|---|---|
| Services billed | 5,365 across 26 procedure codes |
| Paid by Medicare | $249,578 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,506 · 21,126 30-day fills |
|---|---|
| Patients | 1,163 |
| Total drug cost | $1,004,924 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Ocean Family and Geriatric Associates LLCToms River, NJ · 10 clinicians
- Deer Chase Medical Associates PAToms River, NJ · 3 clinicians
Hospital affiliation
- Community Medical CenterToms River, NJ
Other facilities
- Bayada Home Health Care, IncHome health agency · Whiting, NJ
- Hackensack Meridian at Home Ocean CountyHome health agency · Brick, NJ
- Visiting Nurse Association of Central Jersey Home Care and HospiceHome health agency · Toms River, NJ
Industry payments (Open Payments)
- 2025$3,480 · 131 payments from 10 companies
- 2024$4,613 · 149 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $1,959 | 78 |
| Novo Nordisk Inc | $373.94 | 11 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $265.29 | 3 |
| Glaxosmithkline, LLC. | $258.08 | 10 |
| Abbvie Inc. | $186.70 | 5 |
What the 2025 payments were for
- Food and Beverage$3,480 · 131 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 161 internal medicine physicians in Toms River · All internal medicine physicians in New Jersey