Ciarra Ciarricco, PA-C
Individual provider Active NPI Physician Assistant · Northfield, NJ
NPI 1780154039 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1780154039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00494600 (NJ)
- Practice address
- 1601 Tilton Rd
Northfield, NJ 08225-1877 - Phone
- (609) 923-8157
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanticare Physician Group PA
Practice addresses (Care Compare)
459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122000734 | NJ | Practitioner - Physician Assistant | 0042662470 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current |
Accepting new patients | |
| Atlanticare Physician Group PA | Current |
Accepting new patients | |
| Atlanticare Urgent Care Physicians LLC | Past | Accepting new patients |
Locations
2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00494600 | NJ | Yes |
| Surgical Physician Assistant | 363AS0400X | 25MP00494600 | NJ | |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1601 Tilton Rd
Northfield, NJ 08225-1877
Mailing address
68 Riverside Dr
Port Republic, NJ 08241-9768
Phone (609) 923-8157
Other practice location 1
1140 Route 72 W
Stafford Township, NJ 08050-2412
Phone (609) 978-8912
Other practice location 2
2500 English Creek Ave
Bldg 900, Ste 909
Egg Harbor Township, NJ 08234
Phone (609) 407-2380
Other providers in Northfield, NJ
- Center for Vein Restoration NJ LLC
- Brandie Cesari
- Juliet L Chhor
- Cheryl L Chiarello
- Chiropractic and Rehab Exercise Center Carecenter of S Jersey North
- Susan Ciofalo
- Heather M Clark
- Marichelle Que Claveria
- Shannon Clifford
- Community Options Enterprises, Inc.
All providers in Northfield, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.