Steven R Scrivo, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15184 Issued in NJ

Practice address

185 Fairfield Avenue
Suite 4a
West Caldwell, NJ 07006

Phone

(973) 226-0063

Fax

(973) 226-1375

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366535239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FAIRFIELD AVENUE",
            "address_2": "SUITE 4A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-226-0063",
            "fax_number": "973-226-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FAIRFIELD AVENUE",
            "address_2": "SUITE 4A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "07006",
            "telephone_number": "973-226-0063",
            "fax_number": "973-226-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVO",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "15184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Santeramo
• Carla Marina Sardeira, CERTIFICATE
• Tracie Anne Sarkar, NBCCH, MA, MSW, LCSW
• Amy K Schecter, M.D.
• Joseph Andrew Schkolnick, O.D.
• John Walton Secoy, MD
• Alyssa Segnello, MS, OTR/L
• Sensory Therapeutics of NJ
• Pradip S Shah, M.D.
• Seema Mahesh Shah, O.D.

• Periodontics in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.