Active NPI
Salvatore Sciurba, PA-C
- Physician Assistant
- Middletown, NJ
National Provider Identifier
1093765307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00131900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7149264 | Other | NJ | AETNA HMO |
| 9301227 | Other | NJ | AETNA PPO |
| 3K5461 | Other | NJ | HEALTHNET |
| 320517 | Other | NJ | AMERICAID/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
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00131900 | NJ | MD | Dermatology 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.
-
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.