Individual provider Active NPI

Raymond Scarpa, APRN

  • Oncology Clinical Nurse Specialist
  • Newark, NJ
National Provider Identifier
1720204589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X
License
26NC0744022700 Issued in NJ
Practice address
90 Bergen St
Newark, NJ 07103-2425
Phone
(973) 972-1923
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X 26NC0744022700 NJ Primary

Addresses

Primary practice location

90 Bergen St
Newark, NJ 07103-2425

Mailing address

34 Madison Ave
Flemington, NJ 08822-3306
Phone (973) 972-1923

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
I20110822000184 NJ Practitioner - Nurse Practitioner 7315117793 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NC0744022700NJMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Feb 21, 2019 Accepting new patients
University Hospital CurrentSince Feb 21, 2019 Accepting new patients

Locations

140 Bergen St
#F1776
Newark, NJ 07103
Phone (973) 972-3282

Organizations & group practices 2

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720204589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MADISON AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088223306",
            "telephone_number": "973-972-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPA",
        "first_name": "RAYMOND",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "NJ",
            "license": "26NC0744022700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.