Active NPI
Giuseppina Scottodicarlo
- Community/Behavioral Health Agency
- Moorestown, NJ
National Provider Identifier
1720530520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 300 Harper Dr
Moorestown, NJ 08057-3208 - Phone
- (856) 380-1070
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
300 Harper Dr
Moorestown, NJ 08057-3208
Mailing address
305 Pleasant Valley Ave
Moorestown, NJ 08057-2609
Phone (856) 745-9395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-2703453 | Other | NJ | TAX I.D. |
| 1114017944 | Other | NJ | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1720530520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 PLEASANT VALLEY AVE",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572609",
"telephone_number": "856-745-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HARPER DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573208",
"telephone_number": "856-380-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTTODICARLO",
"first_name": "GIUSEPPINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "22-2703453",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1114017944",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.