Ralph Victor Guarino, MD
Internal Medicine Physician · Toms River, NJ
Ralph Victor Guarino, MD is an internal medicine physician with a practice address in Toms River, New Jersey, and NPI 1134140767, issued on Jul 21, 2006. Check the license (New Jersey 25MA04501400, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Ralph Victor Guarino
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 25MA04501400 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 160 State Highway 37 West, Toms River, NJ 08755
- Phone
- (732) 286-0440
- Enumerated
- Jul 21, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (732) 286-2885
- Medicaid ID
- 1689207 NJ
- Medicare enrollment
- Enrolled (PECOS I20100511000810); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Also registered at 160 State Highway 37 West
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Thomas Obrien, MDInternal Medicine Physician1952322588
Verify Ralph Victor Guarino in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA04501400Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.0 times the Medicare Part D claims of the average internal medicine physician in 2024
9,506 Medicare Part D claims for 1,163 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims. 32 claims were for opioids.
Most prescribed
- Levothyroxine Sodium406 claims
- Atorvastatin Calcium398 claims
- Amlodipine Besylate370 claims
- Alprazolam339 claims
- Prednisone320 claims
- Azithromycin300 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $4,488.45
102 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Deer Chase Medical Associates PAToms River, NJ
- Ocean Family And Geriatric Associates LLCToms River, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ralph Victor Guarino among 4,632 internal medicine physician records in New Jersey
Ralph Victor Guarino, MD is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 50% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated1980 · median 2000 among the 3,132 with a school on file
- Record last updated2007 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
104 internal medicine physician records list a practice address in Toms River
They are 104 of the 2,671 NPPES records with a practice address in Toms River, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Toms River → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Thanaa Nelly Abraham, MDToms River, NJ 087551568442424
- Luzminda Anama, M.D.Toms River, NJ 087551487647202
- Victor Bugay, MDToms River, NJ 087551568416352
- Gregory Cuozzo, MDToms River, NJ 087551013962166
- Dilip Desai, M.D. PAToms River, NJ 087551144213794
- Anjana Mathur, M.D.Toms River, NJ 087551306895982
- Akshay Patel, MDToms River, NJ 087551396737581
- Benny Riviello, DOToms River, NJ 087551326011214
Common questions
What is Ralph Victor Guarino, MD's NPI number?
Ralph Victor Guarino, MD's National Provider Identifier (NPI) is 1134140767, issued on Jul 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ralph Victor Guarino, MD located?
The NPPES record lists a practice address at 160 State Highway 37 West, Toms River, NJ, 08755. Phone: (732) 286-0440. Providers update this record themselves, so call before visiting.
How can I verify Ralph Victor Guarino, MD's license?
NPPES lists New Jersey license number 25MA04501400, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ralph Victor Guarino, MD prescribe under Medicare Part D?
In 2024, Ralph Victor Guarino, MD had 9,506 Medicare Part D claims for 1,163 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Ralph Victor Guarino, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.