Individual provider Active NPI

Janette W Scafidi, M.S., P.T.

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1215298625
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00458400 Issued in NJ
Practice address
115 W 42ND St
Bayonne, NJ 07002-2035
Phone
(201) 792-3840
Fax
(201) 858-0710
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00458400 NJ Primary

Addresses

Primary practice location

115 W 42ND St
Bayonne, NJ 07002-2035

Mailing address

1 Nardone PL
Jersey City, NJ 07306-3514
Phone (201) 792-3840

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA00458400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates, PA Past Accepting new patients
D Strulowitz & Carl a Gargiulo PTR Physical Therapist PastSince Feb 1, 2000 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1215298625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NARDONE PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063514",
            "telephone_number": "201-792-3840",
            "fax_number": "201-792-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 42ND ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022035",
            "telephone_number": "201-792-3840",
            "fax_number": "201-858-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAFIDI",
        "first_name": "JANETTE",
        "middle_name": "W",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00458400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.