Active NPI
Philip M Scaduto MD Patricia M Renz MD PC
- Internal Medicine Physician
- Boonton, NJ
National Provider Identifier
1669498218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PHILIP M SCADUTO MD PATRICIA M RENZ MD PC
- Practice address
- 223 W Main St
Boonton, NJ 07005 - Phone
- (973) 335-8656
- Fax
- (973) 335-8986
- NPI assigned
- Jul 15, 2006
- Last updated
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Mark Scaduto, MD
- Title
- Partner
- Phone
- (973) 335-8656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
223 W Main St
Boonton, NJ 07005
Mailing address
223 W Main St
Boonton, NJ 07005
Phone (973) 335-8656
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Boonton, NJ
- NPI 1710912332
-
- Internal Medicine Physician
- Boonton, NJ
- NPI 1245265875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1669498218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 W MAIN ST",
"city": "BOONTON",
"state": "NJ",
"postal_code": "07005",
"telephone_number": "973-335-8656",
"fax_number": "973-335-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W MAIN ST",
"city": "BOONTON",
"state": "NJ",
"postal_code": "07005",
"telephone_number": "973-335-8656",
"fax_number": "973-335-8986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP M SCADUTO MD PATRICIA M RENZ MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "SCADUTO",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "973-335-8656",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.