Active NPI
Dirk E Skinner, MD
- Neurology Physician
- Vineland, NJ
National Provider Identifier
1265530091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA41643
- Practice address
- 1138 E Chestnut Ave
Building 7B
Vineland, NJ 08360-5053 - Phone
- (856) 691-8383
- Fax
- (856) 691-9505
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA41643 | NJ | Primary |
Addresses
Primary practice location
1138 E Chestnut Ave
Building 7B
Vineland, NJ 08360-5053
Mailing address
1138 E Chestnut Ave
Building 7B
Vineland, NJ 08360-5053
Phone (856) 691-8383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2486407 | Medicaid | NJ |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100520001008 | NJ | Practitioner - Neurology | 9335278829 | Practice locations: Cape May Court House, NJ; Vineland, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Hahnemann University College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1138 E Chestnut Ave
Suite 7 B
Vineland, NJ 08360-5053
Phone (856) 691-8383
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA41643 | NJ | MD | Neurology Physician |
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1265530091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 E CHESTNUT AVE",
"address_2": "BUILDING 7B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605053",
"telephone_number": "856-691-8383",
"fax_number": "856-691-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 E CHESTNUT AVE",
"address_2": "BUILDING 7B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605053",
"telephone_number": "856-691-8383",
"fax_number": "856-691-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKINNER",
"first_name": "DIRK",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA41643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2486407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.