Individual provider Active NPI

Richard Louis Scotti, D.D.S.

  • Dentist
  • Roselle, NJ
National Provider Identifier
1043559321
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NJ DI 15912 Issued in NJ
Practice address
2305 Wood Ave
Roselle, NJ 07203-2939
Phone
(908) 486-4521
Fax
(908) 241-2176
NPI assigned
Feb 7, 2013
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NJ DI 15912 NJ Primary
Dentist 122300000X 4479 NV

Addresses

Primary practice location

2305 Wood Ave
Roselle, NJ 07203-2939

Mailing address

2305 Wood Ave
Roselle, NJ 07203-2939
Phone (908) 486-4521

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
I20160308002399 NJ Order and Referring Only - DentistPractitioner - Dentist 5799081311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ DI 15912NJMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1043559321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 WOOD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032939",
            "telephone_number": "908-486-4521",
            "fax_number": "908-241-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 WOOD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032939",
            "telephone_number": "908-486-4521",
            "fax_number": "908-241-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTI",
        "first_name": "RICHARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "NJ DI 15912",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, NJ

Sources for this page

Verify at the official NPI Registry.