Individual provider Active NPI

Michael A Sciarra, D.O.

  • Gastroenterology Physician
  • Edgewater, NJ
National Provider Identifier
1811035280
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB06004900 Issued in NJ
Practice address
968 River Road
Suite 200
Edgewater, NJ 07020
Phone
(201) 969-2111
Fax
(201) 969-8015
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MB06004900 NJ Primary

Addresses

Primary practice location

968 River Road
Suite 200
Edgewater, NJ 07020

Mailing address

968 River Road
Suite 200
Edgewater, NJ 07020
Phone (201) 969-2111

Other identifiers 1

IdentifierTypeStateIssuer
7163908MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040930000966 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 4284603762 Reassigns benefits to 1 organization
I20230831001041 SC Practitioner - Gastroenterology 4284603762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rowan University School of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5983

989 Ribaut Rd
Beaufort, SC 29902-5472

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy222
Upper gastrointestinal (GI) endoscopy for acid reflux254

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2019 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 4, 2023 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 4, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2019 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Pain Medicine and Anesthesia PC PastSince Jun 1, 2013 Accepting new patients
The Center for Gastroenterology and Liver Disorders LLC Gastroenterology Past Accepting new patients

Locations

6-20 Plaza Rd
Fair Lawn, NJ 07410
Phone (201) 509-8900

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

255 State Rt 3
Ste 210
Secaucus, NJ 07094
Phone (201) 866-2400

1265 Paterson Plank Rd
Ste 2D
Secaucus, NJ 07094
Phone (201) 216-3055

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

122 Okatie Center Blvd N
Ste 300
Okatie, SC 29909
Phone (843) 707-8040

122 Okatie Center Blvd N
Okatie, SC 29909
Phone (843) 273-7980

Interoperability endpoints

  • Direct secure messaging: michael.sciarra.1@16436.direct.athenahealth.com
  • Direct secure messaging: michael.sciarra@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

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 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1811035280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIVER ROAD",
            "address_2": "SUITE 200",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "07020",
            "telephone_number": "201-969-2111",
            "fax_number": "201-969-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIVER ROAD",
            "address_2": "SUITE 200",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "07020",
            "telephone_number": "201-969-2111",
            "fax_number": "201-969-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIARRA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB06004900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7163908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.