Active NPI
Andrea J Sciarrillo, D.C.
- Sports Physician Chiropractor
- Cranford, NJ
National Provider Identifier
1558449702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38MC00621800
- Practice address
- 301 North Ave E
Cranford, NJ 07016-2434 - Phone
- (908) 272-5400
- Fax
- (908) 272-9898
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38MC00621800 | NJ | Primary |
Addresses
Primary practice location
301 North Ave E
Cranford, NJ 07016-2434
Mailing address
301 North Ave E
Cranford, NJ 07016-2434
Phone (908) 272-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000171 | NJ | Practitioner - Chiropractic | 7517957343 | Practice locations: Cranford, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
301 N Ave E
Cranford, NJ 07016-2026
Phone (908) 272-5400
301 N Ave E
Cranford, NJ 07016-2434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00621800 | NJ | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558449702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 NORTH AVE E",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162434",
"telephone_number": "908-272-5400",
"fax_number": "908-272-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NORTH AVE E",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162434",
"telephone_number": "908-272-5400",
"fax_number": "908-272-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIARRILLO",
"first_name": "ANDREA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "38MC00621800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranford, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.