Ralph V. Guarino, MD

Medicare activity in 2024

Official CMS public-use data for Ralph V. Guarino, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.

Most frequent services

1. Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)2,281 services
2. Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (J0702)640 services
3. Injection of drug or substance under skin or into muscle (96372)530 services
4. Injection, ketorolac tromethamine, per 15 mg (J1885)448 services
5. Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)355 services

Chronic conditions among these patients

Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).

• High blood pressure75%
• High cholesterol75%
• Arthritis61%
• Ischemic heart disease33%
• Diabetes32%
• Chronic kidney disease22%

Hospitals where Ralph V. Guarino works

Medicare's Facility Affiliation Data lists Ralph V. Guarino at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.

• Community Medical CenterToms River, NJ · Acute Care Hospital · Medicare rating: 1 of 5 stars · Emergency services: listed by Medicare · CCN 310041

Practice locations

Addresses where Ralph V. Guarino is enrolled with Medicare (CMS data updated October 2, 2026).

• 160 Hwy 37 W, Suite AToms River, NJ 08755 (732) 286‑0440
• 160 State Hwy 37 W, Suite AToms River, NJ 08755
• 20 Hospital DrToms River, NJ 08755 (732) 341‑9900

Group practices

Medicare enrollment lists Ralph V. Guarino as a member of these groups (CMS data updated October 2, 2026).

• Ocean Family and Geriatric Associates LLC10 clinicians in the group
• Deer Chase Medical Associates PA3 clinicians in the group

Specialties

• Internal Medicineprimary

Find other Internal Medicine doctors in New Jersey →

Other internal medicine doctors in Toms River

Clinicians with the same Medicare primary specialty in Toms River, NJ — not a recommendation.

• Sizan B. Patel, MD
• Henry W. Kong, MD
• Henry Yu, MD
• Priscilla M. Magsalin-Alberto, MD
• Timothy C. Gabriel, MD
• Donato J. Santangelo Iii, MD
• Muhammad S. Tiwana, MD
• Dilip N. Desai, MD

All internal medicine doctors in Toms River →

Other clinicians in Ocean Family and Geriatric Associates LLC

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

• Pius U. Chikezie, MD
• Prabhat Sinha, MD
• Thomas K. Obrien, MD
• Blair R. Beltzer, MD
• Merlita C. Guerrero, NP
• Charles M. Dume, NP

Clinician information

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
6. Medicare Care Compare — official Medicare tool to look up clinicians