Ciarra Ciarricco, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00494600 Issued in NJ

Practice address

1601 Tilton Rd
Northfield, NJ 08225-1877

Phone

(609) 923-8157

NPI assigned

Nov 29, 2018

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment Care Compare group NPD
• Rite Medical Care PC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1619599578

  NJ

  Medicare reassignment
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Atlanticare Urgent Care Physicians LLC

  • Urgent Care Clinic/Center
  • Sicklerville, NJ
  • NPI 1083991616
  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1780154039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 RIVERSIDE DR",
            "city": "PORT REPUBLIC",
            "state": "NJ",
            "postal_code": "082419768",
            "telephone_number": "609-923-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251877",
            "telephone_number": "609-923-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Route 72 W",
            "address_purpose": "LOCATION",
            "city": "Stafford Township",
            "state": "NJ",
            "postal_code": "080502412",
            "country_code": "US",
            "telephone_number": "609-978-8912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 English Creek Ave",
            "address_2": "Bldg 900, Ste 909",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "08234",
            "country_code": "US",
            "telephone_number": "609-407-2380",
            "fax_number": "609-677-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIARRICCO",
        "first_name": "CIARRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00494600",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00494600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Vein Restoration NJ LLC
• Brandie Cesari
• Juliet L Chhor
• Cheryl L Chiarello, LPC
• Chiropractic and Rehab Exercise Center Carecenter of S Jersey North (Chiro Rehab and Exercise Carecenter)
• Susan Ciofalo, LSW
• Heather M Clark, D.M.D.
• Marichelle Que Claveria
• Shannon Clifford, PT
• Community Options Enterprises, Inc.

• Physician Assistant in Northfield, NJ
• Providers in Northfield, 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 Aug 20, 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.