Stephanie A Scanzano, MSOTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00434100 Issued in NJ

Practice address

545 Beckett Rd Ste 106
Logan Township, NJ 08085-1507

Phone

(856) 467-6687

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Generation Station LLCGroup PAC ID 9335364645, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Generation Station LLC

  • Community/Behavioral Health Agency
  • Logan Township, NJ
  • NPI 1558703660
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1700080751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 JENNINGS WAY",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561028",
            "telephone_number": "856-430-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD STE 106",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851507",
            "telephone_number": "856-467-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANZANO",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "MSOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00434100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novacare
• Salem Clinic Corp
• Salem Medical Professionals, P.C.
• Roger Brent Samartino, DPT
• Sandra Vause, M.D., P.C.
• George Seretis, DO
• Seretiscare Inc.
• Veronica Yates, MS, MA, LPC

• Occupational Therapist in Logan Township, NJ
• Providers in Logan Township, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.