Active NPI
Carli Dicioccio, P.A
- Medical Physician Assistant
- Delran, NJ
National Provider Identifier
1669832176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00386700
- Practice address
- 8001 Route 130
Delran, NJ 08075-1870 - Phone
- (609) 338-1405
- NPI assigned
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00386700 | NJ | Primary |
Addresses
Primary practice location
8001 Route 130
Delran, NJ 08075-1870
Mailing address
8001 Route 130
Delran, NJ 08075-1870
Phone (856) 461-1400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160502000926 | NJ | Practitioner - Physician Assistant | 1153620836 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000
712 E Bay Ave
Suite 18
Manahawkin, NJ 08050-3447
Phone (212) 283-3000
8001 Route 130
Delran, NJ 08075-1870
Phone (212) 283-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00386700 | NJ | MD | Medical Physician Assistant |
Interoperability endpoints
- carli.dicioccio@schweigerderm.emadirect.md
Organizations & group practices 1
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": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1669832176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 ROUTE 130",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080751870",
"telephone_number": "856-461-1400",
"fax_number": "856-461-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 ROUTE 130",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080751870",
"telephone_number": "609-338-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICIOCCIO",
"first_name": "CARLI",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00386700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.