Individual provider Active NPI

Janet Ann Scibetta, PA

  • Medical Physician Assistant
  • Manahawkin, NJ
National Provider Identifier
1497830210
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001841 Issued in CT
Practice address
1100 Route 72 W Ste 306B
Manahawkin, NJ 08050-2475
Phone
(609) 978-3910
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001841 CT Primary

Addresses

Primary practice location

1100 Route 72 W Ste 306B
Manahawkin, NJ 08050-2475

Mailing address

11 Hannah PL
Little Egg Harbor, NJ 08087
Phone (732) 998-5115

Other practice location 1

56 Franklin St
Waterbury, CT 06706-1221
Phone (203) 709-6004

Other names 1

  • Janet Ann Chudzik Former name

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
I20171023001653 NJ Practitioner - Physician Assistant 7618977380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001841CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Middle CT Emergency Physicians LLC PastSince Oct 22, 2023 Accepting new patients
Long River Physicians, LLC Past Accepting new patients
Franklin Medical Group, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janet.scibetta@direct.hackensackmeridian.org

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497830210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HANNAH PL",
            "city": "LITTLE EGG HARBOR",
            "state": "NJ",
            "postal_code": "08087",
            "telephone_number": "732-998-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W STE 306B",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502475",
            "telephone_number": "609-978-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067061221",
            "country_code": "US",
            "telephone_number": "203-709-6004",
            "fax_number": "203-709-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIBETTA",
        "first_name": "JANET",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "CHUDZIK",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.