Skylight Health Group New Jersey PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKYLIGHT HEALTH GROUP NEW JERSEY PC

Doing business as

Skylight Health

Practice address

105 N Broad St
Woodbury, NJ 08096-1703

Phone

(844) 644-8880

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Gluchacki

Title

President, Clinical Operations

Phone

(401) 266-9597

Specialties & licenses 1

Addresses

Other names 1

• Skylight Health Doing business as

Locations

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1710586763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HARTWELL ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213025",
            "telephone_number": "401-266-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961703",
            "telephone_number": "844-644-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIGHT HEALTH GROUP NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "GLUCHACKI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "401-266-9597"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skylight Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skylight Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Silver
• Ta'Ronn Simpson, DDS
• Ella Sipin
• Krystyna Siwko, OTR, CHT
• Marcia A Skowron Scharle, APN-C
• SL&S Inclusive Living LLC
• Allyson Smith, APN
• Delilah Smith
• Jennifer Lynne Smith, ATC
• Sylwester Mieczyslaw Sobieszczyk, M.D.

• Family Medicine Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.