Active NPI
Ignatius Scalia, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Jersey City, NJ
National Provider Identifier
1437280336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 22DI01699300
- Practice address
- 869 Bergen Ave
Jersey City, NJ 07306-4405 - Phone
- (201) 333-4990
- Fax
- (201) 332-7650
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI01699300 | NJ | Primary |
Addresses
Primary practice location
869 Bergen Ave
Jersey City, NJ 07306-4405
Mailing address
869 Bergen Ave
Jersey City, NJ 07306-4405
Phone (201) 333-4990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6437702 | Medicaid | NJ | |
| 708660 | Other | NJ | AETNA ID NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01699300 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hospital Opco LLC | Current | Accepting new patients |
Interoperability endpoints
- ignatius.scalia@direct.christhospital.md
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.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437280336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "869 BERGEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064405",
"telephone_number": "201-333-4990",
"fax_number": "201-332-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "869 BERGEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073064405",
"telephone_number": "201-333-4990",
"fax_number": "201-332-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALIA",
"first_name": "IGNATIUS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "22DI01699300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6437702",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID NUMBER",
"identifier": "708660",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.