MR. SALVATORE SCIURBA (NPI# 1093765307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093765307 |
| Entity Type | Individual |
| Full Name | MR. SALVATORE SCIURBA |
| Credential | PA-C |
| Practice Address |
1000 Route 35 Ste 200 Middletown NJ 07748-2606 |
| Mailing Address |
200 Barr Harbor Dr, Four Tower Bridge Suite 200 West Conshohocken PA 19428-4979 |
| Practice Telephone | 8003376663 |
| Mailing Telephone | 8482402812 |
| Mailing Fax Number | 7327316135 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 25MP00131900 | NJ | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 25MP00131900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA HMO | 7149264 | 01 |
| NJ | AMERICAID/AMERIGROUP | 320517 | 01 |
| NJ | AETNA PPO | 9301227 | 01 |
| NJ | HEALTHNET | 3K5461 | 01 |
| Street Address |
1000 ROUTE 35 STE 200 |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1740777234 | Susan Ko-velez | Physician Assistant | 941 Rte 35, Middletown, NJ 07748-2601 | 2018-04-19 |
| 1265880918 | Jared Marshall | Physician Assistant | 222 Carriage Crossing Ln, Middletown, CT 06457-5862 | 2016-06-02 |
| 1184921322 | Juliane Natasha Everest | Physician Assistant | 1680 Route 35, Family Wellness Center, Middletown, NJ 07748 | 2011-02-24 |
| 1326271412 | Kristin Myers | Physician Assistant | 896 Washington St, Middletown, CT 06457-2912 | 2009-08-24 |
| 1245410422 | Kristine Carta Lane | Physician Assistant | 540 Saybrook Rd Ste 110, Middletown, CT 06457-4711 | 2007-11-06 |
| 1003001587 | Mary Chau Tran | Physician Assistant | 400 Saybrook Rd Ste 205, Middletown, CT 06457-4775 | 2007-09-07 |
| 1417153131 | Kimberly Marie Dembeck | Physician Assistant | 75 Crystal Run Rd Ste G40, Middletown, NY 10941-7000 | 2007-06-21 |
| 1659460236 | Irene Eng | Physician Assistant | 25 Myrtle Ave, Middletown, NY 10940-4122 | 2006-10-12 |
| 1821001298 | Byron Edward Schieber | Physician Assistant | 81 Constellation Ct, Middletown, PA 17057-5086 | 2006-08-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.