Individual provider Active NPI

Salvatore Sciurba, PA-C

  • Physician Assistant
  • Middletown, NJ
National Provider Identifier
1093765307
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00131900 Issued in NJ
Practice address
1000 Route 35 Ste 200
Middletown, NJ 07748-2606
Phone
(800) 337-6663
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MP00131900 NJ
Physician Assistant 363A00000X 25MP00131900 NJ Primary

Addresses

Primary practice location

1000 Route 35 Ste 200
Middletown, NJ 07748-2606

Mailing address

200 Barr Harbor Dr, Four Tower Bridge
Suite 200
West Conshohocken, PA 19428-4979
Phone (848) 240-2812

Other identifiers 4

IdentifierTypeStateIssuer
7149264OtherNJAETNA HMO
9301227OtherNJAETNA PPO
3K5461OtherNJHEALTHNET
320517OtherNJAMERICAID/AMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000616 NJ Practitioner - Physician Assistant 8325040389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

1000 Route 35
Suite 200
Middletown, NJ 07748-2609
Phone (212) 283-3000

2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000

712 E Bay Ave
Suite 18
Manahawkin, NJ 08050-3447
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00131900NJMDDermatology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1093765307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BARR HARBOR DR, FOUR TOWER BRIDGE",
            "address_2": "SUITE 200",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284979",
            "telephone_number": "848-240-2812",
            "fax_number": "732-731-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 35 STE 200",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482606",
            "telephone_number": "800-337-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIURBA",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MP00131900",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00131900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7149264",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9301227",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K5461",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID/AMERIGROUP",
            "identifier": "320517",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.