Paul Scollo, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

25MD00116700 Issued in NJ

Practice address

32 Jorgensen LN
Fairfield, NJ 07004-1216

Phone

(973) 227-8596

Fax

(973) 227-8597

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Interoperability endpoints

• Direct secure messaging: pscollo@psd-nj.direct.office.nextgen.com

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1164563839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 JORGENSEN LN",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041216",
            "telephone_number": "973-227-8596",
            "fax_number": "973-227-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JORGENSEN LN",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041216",
            "telephone_number": "973-227-8596",
            "fax_number": "973-227-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLLO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00116700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Sauser
• Lauren N Schaefer
• Samantha Nicole Schaper, PHARMD, RPH
• Nicole L Schoeneich, OTR/L
• James Sciortino
• Rachel Secemski, DPT
• Laural Diane Senatore, FNP-C
• Salvatore E Senatore, DC
• Serenity Wig Design LLC
• Purvi A. Shah, RPH

• Foot Surgery Podiatrist in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Foot Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.