Individual provider Active NPI

Michael Angelo Schiavone II, M.D.

  • Obstetrics & Gynecology Physician
  • Hackettstown, NJ
National Provider Identifier
1447213566
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04992200 Issued in NJ
Practice address
653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732
Phone
(908) 441-1404
Fax
(908) 441-1460
NPI assigned
Apr 10, 2006
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 164877 NY
Obstetrics & Gynecology Physician 207V00000X 25MA04992200 NJ Primary

Addresses

Primary practice location

653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732

Mailing address

3267 Street Rd
Doylestown, PA 18902-9444
Phone (215) 794-9433

Other identifiers 1

IdentifierTypeStateIssuer
215001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915000189 NM Practitioner - Obstetrics/Gynecology 1355396565 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04992200NJMDObstetrics & Gynecology Physician
164877NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Presbyterian Healthcare Services Obstetrics & Gynecology CurrentSince Jun 27, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 27, 2022 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Aug 5, 2021 Accepting new patients
Las Cruces Physician Practices, LLC Obstetrics & Gynecology CurrentSince Aug 5, 2021 Accepting new patients
Head & Neck Oncology Group of Central Jersey Past Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients
Central Jersey Medical Center, Inc Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

Interoperability endpoints

  • Direct secure messaging: michael.schiavone.1@6965.direct.athenahealth.com
  • Direct secure messaging: mschiavo@yourcarecommunity.org

Organizations & group practices 8

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1447213566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 STREET RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189029444",
            "telephone_number": "215-794-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 WILLOW GROVE ST",
            "address_2": "SUITE 2200",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401732",
            "telephone_number": "908-441-1404",
            "fax_number": "908-441-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIAVONE",
        "first_name": "MICHAEL",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "164877",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04992200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.