Active NPI
Thomas Scuderi MD,PA
- Primary Care Clinic/Center
- Hazlet, NJ
National Provider Identifier
1154583904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MA02982800
- Legal business name
- THOMAS SCUDERI MD,PA
- Practice address
- 80 Hazlet Ave
Suite 10
Hazlet, NJ 07730-1623 - Phone
- (732) 264-0400
- Fax
- (732) 264-1149
- NPI assigned
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Scuderi, MD
- Title
- Owner
- Phone
- (732) 264-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MA02982800 | NJ | Primary |
Addresses
Primary practice location
80 Hazlet Ave
Suite 10
Hazlet, NJ 07730-1623
Mailing address
80 Hazlet Ave
Suite 10
Hazlet, NJ 07730-1623
Phone (732) 264-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2947609 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hazlet, NJ
- NPI 1437144979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1154583904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HAZLET AVE",
"address_2": "SUITE 10",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301623",
"telephone_number": "732-264-0400",
"fax_number": "732-264-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HAZLET AVE",
"address_2": "SUITE 10",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301623",
"telephone_number": "732-264-0400",
"fax_number": "732-264-1149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS SCUDERI MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "SCUDERI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-264-0400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "MA02982800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2947609",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.