Individual provider Active NPI

Dennis Michael Scardigli, MD

  • Internal Medicine Physician
  • Merchantville, NJ
National Provider Identifier
1457663072
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33497 Issued in NJ
Practice address
1 S Centre St FL 2
Merchantville, NJ 08109-2213
Phone
(856) 663-4447
Fax
(856) 488-6380
NPI assigned
Jul 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33497 NJ Primary

Addresses

Primary practice location

1 S Centre St FL 2
Merchantville, NJ 08109-2213

Mailing address

1 S Centre St FL 2
Merchantville, NJ 08109-2213
Phone (856) 663-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33497NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1457663072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CENTRE ST FL 2",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092213",
            "telephone_number": "856-663-4447",
            "fax_number": "856-488-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CENTRE ST FL 2",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092213",
            "telephone_number": "856-663-4447",
            "fax_number": "856-488-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDIGLI",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "33497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.