Philip Mark Scaduto, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04449300 Issued in NJ

Practice address

223 West Main St
Boonton, NJ 07005

Phone

(973) 335-8656

Fax

(973) 335-8986

NPI assigned

Jul 12, 2006

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526
  Medicare reassignment NPD
• Philip M Scaduto MD Patricia M Renz MD PC

  • Internal Medicine Physician
  • Boonton, NJ
  • NPI 1669498218
  Authorized official Same address or phone
• Primary Care Partners, LLC

  dba Internal Medicine of Vernon-Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Vernon, NJ
  • NPI 1508297680
  NPD
• Primary Care Partners, LLC

  dba Eastern Vascular Associates- Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Denville, NJ
  • NPI 1710267562
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1710912332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WEST MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-335-8656",
            "fax_number": "973-335-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCADUTO",
        "first_name": "PHILIP",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04449300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anas Salem
• Mohammed Nasser Salem, M.D
• Phillip Samuel-Siegel, L.C.S.W.
• Gabrielle Fayth Samuels, D.O.
• John Joseph Santoro, MA, LCADC
• Stephanie Sclafani
• Brenda Joyce Scott, MSW
• Patrick M Selimo, DC
• Samuel P Selimo, DC
• Anisha Sharma

• Internal Medicine Physician in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.