Ryan Sgroi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00828400 Issued in NJ

Practice address

201 State RT 17 FL 1202
Rutherford, NJ 07070-2901

Phone

(201) 975-2323

NPI assigned

Apr 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rsgroi109775@direct.optum.com

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.

• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment Care Compare group NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)

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

• Njmhmc, LLC

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253
  Care Compare affiliation

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1720775620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 IRVING ST APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073329",
            "telephone_number": "315-264-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE RT 17 FL 1202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702901",
            "telephone_number": "201-975-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E 70th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214898",
            "country_code": "US",
            "telephone_number": "212-606-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SGROI",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00828400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Scheibe
• Josephine G Schiff, MSW, LCSW
• Anthony Albert Schlachter, D.C
• Anne Schuchman
• Torrie Lane Alberstadt Seroczynski, M.S.
• Dhara Shah, DDS
• Hemali Shah
• Ann Marie Saied Sharoupim, PHARM.D
• Emran Salahuddin Sheikh, M.D.
• Shawn Shih, MD

• Physician Assistant in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.

Verify at the official NPI Registry.