Individual provider Active NPI

Regina Marie Scutti, RN APN C

  • Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1679676746
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN10807100 Issued in NJ
Practice address
111 Central Ave
Cardiac Catheterization Lab
Newark, NJ 07102-1909
Phone
(973) 877-5154
Fax
(973) 877-2904
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN10807100 NJ Primary

Addresses

Primary practice location

111 Central Ave
Cardiac Catheterization Lab
Newark, NJ 07102-1909

Mailing address

32 Weston St
Nutley, NJ 07110-2846
Phone (973) 284-1258

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240821002466 NJ Practitioner - Nurse Practitioner 0941521736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Jun 15, 2024 Accepting new patients
University Hospital CurrentSince Jun 15, 2024 Accepting new patients
Central Avenue Professional Services, PC PastSince Dec 15, 2014 Accepting new patients

Locations

150 Bergen St
Rm M219
Newark, NJ 07103
Phone (973) 972-1193

Interoperability endpoints

  • FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1679676746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WESTON ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102846",
            "telephone_number": "973-284-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "address_2": "CARDIAC CATHETERIZATION LAB",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5154",
            "fax_number": "973-877-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUTTI",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN APN C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN10807100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.