Individual provider Active NPI

Silvio Quaglia, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Millburn, NJ
National Provider Identifier
1790788313
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
MA56620 Issued in NJ
Practice address
25 E Willow St
Millburn, NJ 07041-1416
Phone
(973) 379-5055
Fax
(973) 379-5324
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X MA56620 NJ Primary

Addresses

Primary practice location

25 E Willow St
Millburn, NJ 07041-1416

Mailing address

25 E Willow St
Millburn, NJ 07041-1416
Phone (973) 379-5055

Other identifiers 12

IdentifierTypeStateIssuer
110071856OtherRAILROAD MEDICARE
4987608MedicaidNJ
0509263000OtherAMERIHEALTH
J1756OtherHORIZON
275711OtherUNITED HEALTHCARE
221976546OtherQUALCARE
0K4782OtherHEALTHNET
221976546OtherCHN
9948077008OtherCIGNA
4279015OtherAETNA
72K50OtherEMPIREHEALTH CHOICE
EP176OtherOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000027 NJ Practitioner - Internal Medicine 1153366786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Primary Care PAGroup PAC ID 8820185473, 3 clinicians

Practice addresses (Care Compare)

25 E Willow St
Millburn, NJ 07041-1416
Phone (973) 379-5055

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Spring Grove Rehabilitation and Healthcare Center Nursing home, New Providence, NJ, CCN 315005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05662000NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Primary Care, P.a. Adolescent Medicine CurrentSince Aug 8, 1991 Accepting new patients

Locations

25 E Willow St
Millburn, NJ 07041
Phone (973) 379-5055

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1790788313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411416",
            "telephone_number": "973-379-5055",
            "fax_number": "973-379-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411416",
            "telephone_number": "973-379-5055",
            "fax_number": "973-379-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAGLIA",
        "first_name": "SILVIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "MA56620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110071856",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4987608",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0509263000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "J1756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "275711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "221976546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K4782",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN",
            "identifier": "221976546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9948077008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4279015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIREHEALTH CHOICE",
            "identifier": "72K50",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "EP176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.