Individual provider Active NPI

Frederick C. C. Skvara, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bridgewater, NJ
National Provider Identifier
1356514095
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA03140600 Issued in NJ
Practice address
617 Country Club Rd
Bridgewater, NJ 08807-1658
Phone
(908) 725-0928
Fax
(908) 725-0928
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA03140600 NJ Primary

Addresses

Primary practice location

617 Country Club Rd
Bridgewater, NJ 08807-1658

Mailing address

617 Country Club Rd
Bridgewater, NJ 08807-1658
Phone (908) 725-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03140600NJMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1356514095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 COUNTRY CLUB RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071658",
            "telephone_number": "908-725-0928",
            "fax_number": "908-725-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 COUNTRY CLUB RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071658",
            "telephone_number": "908-725-0928",
            "fax_number": "908-725-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKVARA",
        "first_name": "FREDERICK C.",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA03140600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.