Individual provider Active NPI

Sara Scalia, PA-C

  • Physician Assistant
  • Old Bridge, NJ
National Provider Identifier
1396317509
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00634100 Issued in NJ
Practice address
3548 Route 9
Old Bridge, NJ 08857-2953
Phone
(732) 679-6300
NPI assigned
Jul 15, 2021
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00634100 NJ Primary

Addresses

Primary practice location

3548 Route 9
Old Bridge, NJ 08857-2953

Mailing address

16 Rutgers PL
Hillsdale, NJ 07642-1916
Phone (201) 962-5816

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
I20220505000203 NJ Practitioner - Physician Assistant 1759778004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00634100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shonta D Collins Consulting Group LLC PastSince Feb 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sara.petro.1@7628.direct.athenahealth.com
  • Direct secure messaging: sarapetro@centralnj.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1396317509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RUTGERS PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421916",
            "telephone_number": "201-962-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 ROUTE 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572953",
            "telephone_number": "732-679-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALIA",
        "first_name": "SARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00634100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.