Individual provider Active NPI

Carly Sarch, PA-C

  • Surgical Physician Assistant
  • Shrewsbury, NJ
National Provider Identifier
1932864253
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP0067900 Issued in NJ
Practice address
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone
(732) 704-4213
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X 25MP0067900 NJ Primary

Addresses

Primary practice location

535 Sycamore Ave
Shrewsbury, NJ 07702-4224

Mailing address

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 676-1645

Other identifiers 1

IdentifierTypeStateIssuer
25MP00679000OtherNJNJ STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20231005000475 NY Practitioner - Physician Assistant 7517359656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Manhattan PLLCGroup PAC ID 2567735152, 13 clinicians

Practice addresses (Care Compare)

1111 Park Ave
Suite 1B
New York, NY 10128-1234
Phone (917) 920-3006

290 Madison Ave
FL 2
New York, NY 10017-6375
Phone (212) 518-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP0067900NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Doctors of America PLLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
NJ Vip Medical Services LLC Multi-Specialty PastSince Jan 28, 2024 Accepting new patients
Mni Medical Services, PLLC Multi-Specialty PastSince May 16, 2022 Accepting new patients

Locations

576 Valley Rd
Wayne, NJ 07470
Phone (646) 853-1120

2100 Bartow Ave
Ste 400
Bronx, NY 10475
Phone (212) 518-4563

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

280 N Central Ave
Ste 450
Hartsdale, NY 10530
Phone (212) 518-4562

350 Jericho Tpke
Ste 310
Jericho, NY 11753
Phone (212) 470-6676

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

290 Madison Ave
New York, NY 10017
Phone (973) 826-2636

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1932864253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024224",
            "telephone_number": "732-676-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SYCAMORE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024224",
            "telephone_number": "732-704-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARCH",
        "first_name": "CARLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP0067900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "25MP00679000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.