Nicole Anne Scivoletti-Polan, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MB08768700 Issued in NJ

Practice address

201 Tomlin Station Rd Ste D
Mullica Hill, NJ 08062-1612

Phone

(856) 853-2025

Fax

(856) 845-8024

NPI assigned

Mar 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
• Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Inspira Health Network Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  Medicare reassignment Care Compare group NPD
• CMC Department of Medicine Group PA

  • Pulmonary Disease Physician
  • Voorhees, NJ
  • NPI 1265565667
  Medicare reassignment NPD
• CMC Department of Medicine Group PA

  • Cardiovascular Disease Physician
  • Camden, NJ
  • NPI 1609908094
  Medicare reassignment NPD
• CMC Department of Medicine Group PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Camden, NJ
  • NPI 1679605554
  Medicare reassignment NPD
• CMC Department of Medicine Group PA

  • Specialist
  • Camden, NJ
  • NPI 1386682094
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Elmer, NJ
  • NPI 1255396024
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  Care Compare affiliation
• South Jersey Hospital, Inc.

  • Physical Therapy Clinic/Center
  • Mullica Hill, NJ
  • NPI 1609158732

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1699098095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622616",
            "telephone_number": "856-507-2783",
            "fax_number": "856-221-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TOMLIN STATION RD STE D",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621612",
            "telephone_number": "856-853-2025",
            "fax_number": "856-845-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 W Red Bank Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080961630",
            "country_code": "US",
            "telephone_number": "856-853-2025",
            "fax_number": "856-845-8024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIVOLETTI-POLAN",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MB08768700",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MB08768700",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "OS016572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102868773001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356662",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356662",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serah Sannoh, MD
• Shreeya Sawant, DO
• Anjali Sawhney, DO
• Maheen Sayeed
• Andrea Bernard Schwartz, RD
• Matthew Scolpino
• Marlon S Scott, NP-C
• Steven Parmanand Seegobin, DO
• Self Healing and Wellness, LLC
• Senacare, LLC

• Pulmonary Disease Physician in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.