Active NPI
Nicholas Olgiati Scaramazza
- Athletic Trainer
- Delran, NJ
National Provider Identifier
1164815155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00166600
- Practice address
- 146 York Rd
Delran, NJ 08075-2218 - Phone
- (732) 456-4399
- NPI assigned
- Mar 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00166600 | NJ | Primary |
Addresses
Primary practice location
146 York Rd
Delran, NJ 08075-2218
Mailing address
146 York Rd
Delran, NJ 08075-2218
Phone (732) 456-4399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 977522 | Other | NJ | DEPARTMENT OF EDUCATION STATE BOARD OF EXAMINERS-SCHOOL ATHLETIC TRAINER |
| 25MT00166600 | Other | NJ | AT COMMITTEE OF THE BOARD OF MEDICAL EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00166600 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426377600000",
"number": "1164815155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 YORK RD",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080752218",
"telephone_number": "732-456-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 YORK RD",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080752218",
"telephone_number": "732-456-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARAMAZZA",
"first_name": "NICHOLAS",
"middle_name": "OLGIATI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-15",
"last_updated": "2015-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00166600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF EDUCATION STATE BOARD OF EXAMINERS-SCHOOL ATHLETIC TRAINER",
"identifier": "977522",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AT COMMITTEE OF THE BOARD OF MEDICAL EXAMINERS",
"identifier": "25MT00166600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delran, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.