Individual provider Active NPI

Thomas M Scorziello, MS, DMD, MS

  • Periodontics
  • Wayne, NJ
National Provider Identifier
1013122001
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DI17988 Issued in NJ
Practice address
601 Hamburg Tpke
Suite 206
Wayne, NJ 07470-2048
Phone
(973) 904-1400
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DI17988 NJ Primary

Addresses

Primary practice location

601 Hamburg Tpke
Suite 206
Wayne, NJ 07470-2048

Mailing address

601 Hamburg Tpke
Suite 206
Wayne, NJ 07470-2048
Phone (973) 904-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902002792 NJ Order and Referring Only - DentistPractitioner - Dentist 6507172707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI17988NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M Scorziello DMD LLC Periodontics Past Accepting new patients

Organizations & group practices 1

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013122001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE",
            "address_2": "SUITE 206",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702048",
            "telephone_number": "973-904-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE",
            "address_2": "SUITE 206",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702048",
            "telephone_number": "973-904-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORZIELLO",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MS, DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI17988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.