Scott Strahle, G.N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00298700 Issued in NJ

Practice address

141 S Black Horse Pike
Suite 104
Blackwood, NJ 08012-2975

Phone

(856) 292-8216

Fax

(856) 848-3011

NPI assigned

Dec 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1114220142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S BLACK HORSE PIKE",
            "address_2": "SUITE 104",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122975",
            "telephone_number": "856-292-8216",
            "fax_number": "856-848-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S BLACK HORSE PIKE",
            "address_2": "SUITE 104",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122975",
            "telephone_number": "856-292-8216",
            "fax_number": "856-848-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAHLE",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "G.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00298700",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP010888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.