Active NPI
Anthony Scardella
- Pulmonary Disease Physician
- Monroe TWP, NJ
National Provider Identifier
1659313609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MA035545
- Practice address
- 11 Centre Dr
Suite a
Monroe TWP, NJ 08831-1564 - Phone
- (609) 395-2460
- Fax
- (609) 409-3985
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MA035545 | NJ | Primary |
Addresses
Primary practice location
11 Centre Dr
Suite a
Monroe TWP, NJ 08831-1564
Mailing address
66 West Gilbert St
Red Bank, NJ 07701
Phone (732) 212-0051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0460206 | Medicaid | NJ | |
| 290003883 | Other | NJ | RAILROAD MEDICARE PTAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA035545 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Pulmonary Disease | Current | Accepting new patients |
| Saint Peter'S University Hospital | Past | Accepting new patients |
Locations
125 Paterson St
Ste 52008
New Brunswick, NJ 08901
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
253 Witherspoon St
Princeton, NJ 08540
Phone (609) 497-4000
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
Interoperability endpoints
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- New Brunswick, NJ
- NPI 1275563611
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1659313609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 WEST GILBERT ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CENTRE DR",
"address_2": "SUITE A",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088311564",
"telephone_number": "609-395-2460",
"fax_number": "609-409-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARDELLA",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA035545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0460206",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "290003883",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.