Provider Demographics
NPI:1023002664
Name:CIATTI, SABATINO (MD)
Entity Type:Individual
Prefix:DR
First Name:SABATINO
Middle Name:
Last Name:CIATTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E GROVE ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1687
Mailing Address - Country:US
Mailing Address - Phone:908-232-7235
Mailing Address - Fax:908-232-1488
Practice Address - Street 1:240 E GROVE ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1687
Practice Address - Country:US
Practice Address - Phone:908-232-7235
Practice Address - Fax:908-232-1488
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05982800207N00000X, 207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00433027OtherRAILROAD MEDICARE
NJ005G41SHXMedicare ID - Type Unspecified
NJP00433027OtherRAILROAD MEDICARE
NJ005641U4LMedicare PIN