Active NPI
Justin S Skolnick, D.O.
- Emergency Medicine Physician
- Manahawkin, NJ
National Provider Identifier
1598963266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB08929700
- Practice address
- 1140 Route 72 W
Somc Emergency Department
Manahawkin, NJ 08050-2412 - Phone
- (609) 597-6011
- NPI assigned
- Jul 4, 2007
- Last updated
- Apr 11, 2016
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB08929700 | NJ | Primary |
Addresses
Primary practice location
1140 Route 72 W
Somc Emergency Department
Manahawkin, NJ 08050-2412
Mailing address
1140 Route 72 W
Somc Emergency Department
Manahawkin, NJ 08050-2412
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 39.14 of 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 58.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08929700 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
Locations
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1598963266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 ROUTE 72 W",
"address_2": "SOMC EMERGENCY DEPARTMENT",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 ROUTE 72 W",
"address_2": "SOMC EMERGENCY DEPARTMENT",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502412",
"telephone_number": "609-597-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOLNICK",
"first_name": "JUSTIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-04",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB08929700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.