Active NPI
Paul V Scott, CRNA
- Registered Nurse
- Newark, NJ
National Provider Identifier
1013167980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NO05841100
- Practice address
- 111 Central Ave
Newark, NJ 07102 - Phone
- (973) 877-5043
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NO05841100 | NJ | Primary |
Addresses
Primary practice location
111 Central Ave
Newark, NJ 07102
Mailing address
14 Newark Ave
Nutley, NJ 07110
Phone (973) 667-2538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1013167980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 NEWARK AVE",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "07110",
"telephone_number": "973-667-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07102",
"telephone_number": "973-877-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "PAUL",
"middle_name": "V",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NO05841100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.