Active NPI
Anthony J Squillaro, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MA49021
- Practice address
- 525 Jack Martin Blvd Ste a
Brick, NJ 08724-7737 - Phone
- (732) 374-9217
- Fax
- (732) 974-1246
- NPI assigned
- Jul 20, 2005
- Last updated
- Aug 19, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MA49021 | NJ | Primary |
Addresses
Primary practice location
525 Jack Martin Blvd Ste a
Brick, NJ 08724-7737
Mailing address
525 Jack Martin Blvd Ste a
Brick, NJ 08724-7737
Phone (732) 374-9217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1566105 | Medicaid | NJ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Rutgers New Jersey Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Atrium Way
Suite 103
Mount Laurel, NJ 08054-3903
Phone (866) 607-2308
200 Metroplex Dr
Suite 410
Edison, NJ 08817-2600
Phone (866) 607-2308
34 Mountain Blvd
Suite 203
Warren, NJ 07059-2640
Phone (866) 607-2308
385 Prospect Ave
Suite 316
Hackensack, NJ 07601-2570
Phone (248) 847-4925
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 936 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA49021 | NJ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Medical Services Group, LLC | Current | Accepting new patients | |
| Eastern Monmouth Physical Therapy LLC | Past | Accepting new patients | |
| Pottstown Clinic Company LLC | Past | Accepting new patients |
Locations
400 Broadacres Dr
Ste 140
Bloomfield, NJ 07003
525 Jack Martin Blvd
Ste 200
Brick, NJ 08724
Phone (732) 836-9669
200 Metroplex Dr
Ste 410
Edison, NJ 08817
83 Hanover Rd
Ste 230
Florham Park, NJ 07932
385 Prospect Ave
Ste 316
Hackensack, NJ 07601
Phone (201) 581-0773
475 County Road 520
Ste 104
Marlboro, NJ 07746
1000 Atrium Way
Ste 103
Mount Laurel, NJ 08054
Phone (856) 235-9995
855 Lehigh Ave
Ste 201
Union, NJ 07083
34 Mountain Blvd
Ste A203
Warren, NJ 07059
1680 Route 23
Ste 330
Wayne, NJ 07470
34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308
111 E 57th St
Rm 202
New York, NY 10022
Phone (646) 921-6266
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MetroVein Centers
- Surgery Physician
- Florham Park, NJ
- NPI 1962828277
-
- Physical Therapist
- Ocean, NJ
- NPI 1407050784
-
dba Emergency Medicine Pottstown Tower Health Medical Group
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1740289875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 JACK MARTIN BLVD STE A",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247737",
"telephone_number": "732-374-9217",
"fax_number": "732-974-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 JACK MARTIN BLVD STE A",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247737",
"telephone_number": "732-374-9217",
"fax_number": "732-974-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUILLARO",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "MA49021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1566105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
- Maggie Sperry, LSW
- Heidi Spiegel, BCBA
- Spiros Karas DMD P.a (Cavitybusters, KARAS DENTAL ARTS)
- Spotlight Support Services
- Cierra Marie Spruill, PA-C
- St. Minas Pharmacy Inc. (Briarmill Pharmacy)
- Staats Physical Therapy, LLC (Staats Physical Therapy)
- Ann Staats, PT
- Daniel Staats, P.T.
- Jake Stabile, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.