Individual provider Active NPI

Emily Scaruzzi, DNP

  • Adult Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1225644107
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
SP022533 Issued in PA
Practice address
5600 Chestnut St
Philadelphia, PA 19139-3232
Phone
(215) 747-4511
NPI assigned
Sep 16, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN646215 PA
Adult Medicine Physician 207QA0505X SP022533 PA Primary

Addresses

Primary practice location

5600 Chestnut St
Philadelphia, PA 19139-3232

Mailing address

236 W Thompson St Apt B403
Philadelphia, PA 19122-4801
Phone (856) 364-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201110002444 PA Practitioner - Nurse Practitioner 5496165052 Reassigns benefits to 1 organization
I20201211001660 NJ Practitioner - Nurse Practitioner 5496165052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN646215PAMDRegistered Nurse
SP022533PAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Heart & Vascular Care LLC CurrentSince Oct 1, 2020 Accepting new patients
Wissinoming Medical Associates PC CurrentSince Oct 1, 2020 Accepting new patients

Locations

8 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 252-8760

3379 Quakerbridge Rd
Ste 200
Trenton, NJ 08619
Phone (609) 360-0145

3379 Quakerbridge Rd
Ste 201
Trenton, NJ 08619
Phone (609) 393-0067

5600 Chestnut St
Philadelphia, PA 19139
Phone (215) 836-1508

6122 Torresdale Ave
Philadelphia, PA 19135
Phone (215) 338-6677

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1225644107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W THOMPSON ST APT B403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224801",
            "telephone_number": "856-364-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393232",
            "telephone_number": "215-747-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARUZZI",
        "first_name": "EMILY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN646215",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "SP022533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.