Active NPI
Charles Milne Scielzo, M.D.
- Obstetrics & Gynecology Physician
- Ridgewood, NJ
National Provider Identifier
1225286297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA02703100
- Practice address
- 354 Grandview Cir
Ridgewood, NJ 07450-4916 - Phone
- (201) 447-5723
- Fax
- (201) 447-3969
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA02703100 | NJ | Primary |
Addresses
Primary practice location
354 Grandview Cir
Ridgewood, NJ 07450-4916
Mailing address
354 Grandview Cir
Ridgewood, NJ 07450-4916
Phone (201) 447-5723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC35087 | Other | NJ | STATE MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02703100 | NJ | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1225286297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 GRANDVIEW CIR",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504916",
"telephone_number": "201-447-5723",
"fax_number": "201-447-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 GRANDVIEW CIR",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504916",
"telephone_number": "201-447-5723",
"fax_number": "201-447-3969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIELZO",
"first_name": "CHARLES",
"middle_name": "MILNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA02703100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICARE NUMBER",
"identifier": "SC35087",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.