Active NPI
Richard Louis Scotti, D.D.S.
- Dentist
- Roselle, NJ
National Provider Identifier
1043559321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NJ DI 15912
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308002399 | NJ | Order and Referring Only - Dentist | 5799081311 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ DI 15912 | NJ | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.