Active NPI
Skylands Pediatrics
- Pediatrics Physician
- Sparta, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SKYLANDS PEDIATRICS
- Practice address
- 328 A Sparta Ave
Sparta, NJ 07871 - Phone
- (973) 729-2197
- Fax
- (973) 729-3653
- NPI assigned
- Apr 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Calabrese, MD
- Title
- MD
- Phone
- (973) 729-2197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
328 A Sparta Ave
Sparta, NJ 07871
Mailing address
328 A Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2938502 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0115879 | Skylands Pediatrics-Primary Care Partners | Certificate of waiver | Mar 15, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Sparta, NJ
- NPI 1972569671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871558668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 A SPARTA AVE",
"city": "SPARTA",
"state": "NJ",
"postal_code": "07871",
"telephone_number": "973-729-2197",
"fax_number": "973-729-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 A SPARTA AVE",
"city": "SPARTA",
"state": "NJ",
"postal_code": "07871",
"telephone_number": "973-729-2197",
"fax_number": "973-729-3653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLANDS PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CALABRESE",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "973-729-2197",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2938502",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.