Individual provider Active NPI

Matthew Skalla, MD

  • Diagnostic Radiology Physician
  • Sparta, NJ
National Provider Identifier
1619908142
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06404100 Issued in NJ
Practice address
89 Sparta Ave.
Sparta, NJ 07871-1777
Phone
(973) 729-0002
Fax
(973) 726-4456
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MA64041 NJ
Diagnostic Radiology Physician 2085R0202X 25MA06404100 NJ Primary

Addresses

Primary practice location

89 Sparta Ave.
Sparta, NJ 07871-1777

Mailing address

2501 Oregon Pike
Suite 101
Lancaster, PA 17601-4890
Phone (717) 293-3223

Other identifiers 1

IdentifierTypeStateIssuer
6965601MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000560 NJ Practitioner - Diagnostic Radiology 9032195748 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Diagnostics Imaging and Open MRI LLCGroup PAC ID 5496779290, 39 clinicians
Center for Advanced Imaging LLCGroup PAC ID 2860824547, 19 clinicians
Middletown Ventures Associates LLCGroup PAC ID 6406818236, 31 clinicians
Radiologic Associates of Northern New Jersey, PAGroup PAC ID 4486648490, 16 clinicians
Newton Imaging P.a.Group PAC ID 1254325970, 42 clinicians
Open MRI Radiology LLCGroup PAC ID 5193736122, 35 clinicians
Radiology Associates of Hackettstown LLCGroup PAC ID 3779666565, 35 clinicians
West Orange Radiology LLCGroup PAC ID 1557630936, 35 clinicians
East Brunswick Open Upright MRI LLCGroup PAC ID 7012921950, 27 clinicians
MRI Associates of Hackettstown LLCGroup PAC ID 0749320737, 26 clinicians
Women'S Diagnostic Center, PAGroup PAC ID 4789570094, 13 clinicians
95 Madison Imaging Center at Morristown IncGroup PAC ID 0840516456, 30 clinicians
Richard J Claps MD and Associates PAGroup PAC ID 1456677129, 16 clinicians

Practice addresses (Care Compare)

0100 28TH St
Imagecare at Fair Lawn
Fair Lawn, NJ 07410-3786
Phone (201) 475-1300

120 Millburn Ave
Suite 101
Millburn, NJ 07041-1935
Phone (973) 376-0900

1275 State Route 35
Middletown, NJ 07748-2040
Phone (732) 275-0999

212 State RT
94 Suite 1 B
Vernon, NJ 07462-3324
Phone (973) 827-1961

222 High St
Suite 101
Newton, NJ 07860-9604
Phone (973) 383-1280

530 Green St
Lowr Level
Iselin, NJ 08830-2654
Phone (732) 326-1515

57 Route 46
Suite 209
Hackettstown, NJ 07840-2695

57 Route 46 E
Suite 212
Hackettstown, NJ 07840-2695
Phone (908) 979-1621

61 Main St
Suite a
West Orange, NJ 07052-5353
Phone (973) 736-1680

620 Cranbury Rd
Suite 10
East Brunswick, NJ 08816-4000
Phone (732) 698-1717

657 Willow Grove St
Suite 205
Hackettstown, NJ 07840-1868
Phone (908) 979-1621

715 Rte
10 Suite 100
Randolph, NJ 07869-2025
Phone (973) 607-8088

757 State Route 15 S
Suite 104
Lake Hopatcong, NJ 07849-2284
Phone (973) 241-4844

89 Sparta Ave
Suite 110
Sparta, NJ 07871-1791
Phone (973) 729-0002

89 Sparta Ave
Suite 120
Sparta, NJ 07871-1790
Phone (973) 729-0002

95 Madison Ave
Suite B02
Morristown, NJ 07960-6023
Phone (973) 984-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.52 of 100Reported as individual
Quality
66.6
Improvement activities
0
Cost
71.32

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64041NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Brunswick Open Upright MRI LLC CurrentSince Oct 16, 2020 Accepting new patients
Richard J Claps M.D. & Associates P.a. Diagnostic Radiology CurrentSince Dec 28, 2019 Accepting new patients
Newton Imaging P.a. CurrentSince Aug 20, 1996 Accepting new patients
Radiology Associates of Hackettstown LLC CurrentSince Jan 1, 2019 Accepting new patients
Open MRI Radiology LLC CurrentSince Oct 16, 2020 Accepting new patients
The Radiology Group of New Jersey, LLC Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
West Orange Radiology, LLC CurrentSince Oct 23, 2020 Accepting new patients
Denville Diagnostics Imaging and Open MRI LLC CurrentSince Oct 7, 2019 Accepting new patients
MRI Associates of Hackettstown LLC CurrentSince Jan 1, 2019 Accepting new patients
Middletown Ventures Associates LLC CurrentSince Oct 16, 2020 Accepting new patients
South Mountain Imaging Diagnostic Radiology PastSince Oct 9, 2019 Accepting new patients

Locations

66 E Main St
Denville, NJ 07834

161 E Main St
Denville, NJ 07834
Phone (973) 586-1212

620 Cranbury Rd
Ste 10
East Brunswick, NJ 08816
Phone (732) 698-1717

657 Willow Grove St
Ste 205
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

530 Green St
Lowr
Iselin, NJ 08830
Phone (732) 326-1515

95 Madison Ave
Ste B03
Morristown, NJ 07960
Phone (973) 285-1446

222 High St
Ste 101
Newton, NJ 07860
Phone (973) 383-1280

175 High St
Newton, NJ 07860
Phone (973) 383-2121

183 High St
Ste 1400
Newton, NJ 07860
Phone (973) 383-1280

1275 State Route 35
North Middletown, NJ 07748
Phone (732) 275-0999

89 Sparta Ave
Ste 110
Sparta, NJ 07871
Phone (973) 726-0498

89 Sparta Ave
Ste 120
Sparta, NJ 07871
Phone (973) 726-0002

61 Main St
Ste A
West Orange, NJ 07052
Phone (973) 736-1680

2501 Oregon Pike
Ste 101
Lancaster, PA 17601

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1619908142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014890",
            "telephone_number": "717-293-3223",
            "fax_number": "717-390-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SPARTA AVE.",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711777",
            "telephone_number": "973-729-0002",
            "fax_number": "973-726-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALLA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA64041",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06404100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6965601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.