Individual provider Active NPI

Danielle Maria Scheschuk, PA-C

  • Plastic Surgery Physician
  • Vineland, NJ
National Provider Identifier
1497024293
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MP00273200 Issued in NJ
Practice address
2950 College Dr
Suite 1B
Vineland, NJ 08360-6933
Phone
(856) 362-8898
Fax
(856) 362-8903
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MP00273200 NJ Primary

Addresses

Primary practice location

2950 College Dr
Suite 1B
Vineland, NJ 08360-6933

Mailing address

2950 College Dr
Suite 1B
Vineland, NJ 08360-6933
Phone (856) 362-8898

Other names 1

  • Danielle Maria Forte Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00273200NJMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1497024293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "SUITE 1B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "SUITE 1B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "856-362-8898",
            "fax_number": "856-362-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHESCHUK",
        "first_name": "DANIELLE",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MP00273200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "FORTE",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.