Olivia Scisco, A-GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01377800 Issued in NJ

Practice address

401 Lacey Rd # B
Whiting, NJ 08759-1386

Phone

(732) 849-1075

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose Throat of New Jersey, P.a.Group PAC ID 1153389994, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGGAAA

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.

• Ear Nose Throat of New Jersey, P.a.

  • Specialist
  • Toms River, NJ
  • NPI 1275651788
  Medicare reassignment Care Compare group
• Ocean Medical Group,P.a.

  • Internal Medicine Physician
  • Whiting, NJ
  • NPI 1346288826
  Medicare reassignment NPD
• Omg Senior Care LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Whiting, NJ
  • NPI 1720798986
  NPD

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1407568603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FIFTH AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LACEY RD # B",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591386",
            "telephone_number": "732-849-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCISCO",
        "first_name": "OLIVIA",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01377800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Robertozzi, DPM
• Keturah Rosato
• Andrea Blanche Rosica, BA
• Ronald G Schiller, D.C.
• Carol J. Schwartz, APN
• Kamakaokalani Penny Scott, LPCMH, NCC, CGC
• Rajat Sekhar, M.D.
• Janet Seno
• Christine Serritella
• Serv Achievement Centers, Inc

• Gerontology Nurse Practitioner in Whiting, NJ
• Providers in Whiting, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.