Stanley J Skoczylas MD LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MA031530 Issued in NJ

Legal business name

STANLEY J SKOCZYLAS MD LLC

Practice address

32 Nancy Terrace
Washington Township
Hackettstown, NJ 07840

Phone

(908) 852-7100

Fax

(908) 813-1067

NPI assigned

Nov 1, 2006

Reactivated

Jun 9, 2015

Organization subpart

No

Name

Stanley Joseph Skoczylas, MD LLC

Title

Physician

Phone

(908) 852-7100

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013095488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NANCY TERRACE",
            "address_2": "WASHINGTON TOWNSHIP",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-7100",
            "fax_number": "908-813-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NANCY TERRACE",
            "address_2": "WASHINGTON TOWNSHIP",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-852-7100",
            "fax_number": "908-813-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J SKOCZYLAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "deactivation_date": "2015-02-02",
        "reactivation_date": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "SKOCZYLAS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-852-7100",
        "authorized_official_credential": "MD LLC"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA031530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "MA031530",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.