Active NPI
Steven A Scuderi, M.D.
- Internal Medicine Physician
- Medford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04785100
- Practice address
- 103 Old Marlton Pike
Suite 111
Medford, NJ 08055-8772 - Phone
- (609) 953-7111
- Fax
- (856) 953-1544
- NPI assigned
- Jan 13, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04785100 | NJ | Primary |
Addresses
Primary practice location
103 Old Marlton Pike
Suite 111
Medford, NJ 08055-8772
Mailing address
401 Route 73 N
40 Lake Center Drive Suite 201a
Marlton, NJ 08053-3425
Phone (856) 355-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0641308 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04785100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Partners in Primary Care Inc | Internal Medicine | Past | Accepting new patients |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
534 Lippincott Dr
Marlton, NJ 08053
Phone (856) 355-7146
103 Old Marlton Pike
Ste 111
Medford, NJ 08055
Phone (609) 451-8088
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
Organizations & group practices 10
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.
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-
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-
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- Orthopaedic Hand Surgery Physician
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-
- Urgent Care Clinic/Center
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-
- Urgent Care Clinic/Center
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- NPI 1851841696
-
- Urgent Care Clinic/Center
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-
- Urgent Care Clinic/Center
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- NPI 1932659778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1366421661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ROUTE 73 N",
"address_2": "40 LAKE CENTER DRIVE SUITE 201A",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533425",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 OLD MARLTON PIKE",
"address_2": "SUITE 111",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080558772",
"telephone_number": "609-953-7111",
"fax_number": "856-953-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCUDERI",
"first_name": "STEVEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04785100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0641308",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.