Individual provider Active NPI

Domenick L Scali, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1417977810
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
51644 Issued in AZ
Practice address
1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633
Phone
(602) 262-8900
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA05845200 NJ
Anesthesiology Physician 207L00000X 51644 AZ Primary

Addresses

Primary practice location

1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633

Mailing address

187 Millburn Ave
Suite 101
Millburn, NJ 07041-1847
Phone (973) 943-1466

Other practice location 1

187 Millburn Ave
Suite 101
Millburn, NJ 07041-1847
Phone (973) 943-1466

Other identifiers 1

IdentifierTypeStateIssuer
8175101MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000780 NJ Practitioner - Anesthesiology 7416939913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

187 Millburn Ave
Millburn, NJ 07041-1847
Phone (973) 671-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Apr 16, 2020 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Liberty Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

195 US Highway 9
Ste 210
Manalapan, NJ 07726
Phone (732) 358-6500

187 Millburn Ave
Millburn, NJ 07041
Phone (973) 467-1466

187 Millburn Ave
Ste 102
Millburn, NJ 07041
Phone (973) 671-0555

187 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (212) 226-2066

2480 State Route 27
North Brunswick, NJ 08902
Phone (732) 821-0011

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

727 State Rd
Princeton, NJ 08540
Phone (609) 921-6410

365 Broad St
Ste 1W
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Organizations & group practices 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417977810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 101",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411847",
            "telephone_number": "973-943-1466",
            "fax_number": "973-467-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044633",
            "telephone_number": "602-262-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Millburn Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Millburn",
            "state": "NJ",
            "postal_code": "070411847",
            "country_code": "US",
            "telephone_number": "973-943-1466",
            "fax_number": "973-467-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALI",
        "first_name": "DOMENICK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05845200",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "51644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8175101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.