SKYLAND MEDICAL CARE, PC
NPI 1144665522
Clinic/Center - Primary Care in Hackettstown, NJ
About Skyland Medical Care, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYLAND MEDICAL CARE, PC (NPI 1144665522) is a healthcare organization registered as a primary care in Hackettstown, New Jersey and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Syed Mohsin Raza, Physican, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skyland Medical Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Skyland Medical Care, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D1015966
Skyland Medical Care · Hackettstown, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Skyland Medical Care, PC's NPI number?
The NPI number for Skyland Medical Care, PC is 1144665522. It was assigned to this organization in the NPPES registry on April 30, 2013.
Where is Skyland Medical Care, PC located?
Skyland Medical Care, PC is located at 117 Seber Rd 2 B Doctors Park, Hackettstown, NJ 07840. The listed phone number is (908) 684-0684.
What is Skyland Medical Care, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Skyland Medical Care, PC enrolled in Medicare?
Yes. Skyland Medical Care, PC is registered in the Medicare PECOS enrollment system.
When is Skyland Medical Care, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Skyland Medical Care, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Skyland Medical Care, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Skyland Medical Care, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1015966) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Skyland Medical Care, PC was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Skyland Medical Care, Pc · NPI 1144665522
Primary Care organization in Hackettstown, New Jersey. Organization record, active in the CMS NPPES registry since April 30, 2013.
## Identity
- **NPI:** 1144665522 (Entity type: Organization)
- **Enumerated:** April 30, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Syed Raza, PHYSICAN
## Practice location
- **Address:** 117 SEBER RD, 2 B DOCTORS PARK, Hackettstown, NJ 07840-1722
- **Phone:** (908) 684-0684 · **Fax:** (908) 684-1119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144665522) · Data from the CMS NPPES public registry.