Active NPI
Danielle Scott, AGPCNP
- Gerontology Nurse Practitioner
- Willingboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2017014499
- Practice address
- 53 Gaylord Cir
Willingboro, NJ 08046-3305 - Phone
- (609) 346-8815
- NPI assigned
- Aug 18, 2017
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2017014499 | NJ | Primary |
Addresses
Primary practice location
53 Gaylord Cir
Willingboro, NJ 08046-3305
Mailing address
53 Gaylord Cir
Willingboro, NJ 08046-3305
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (856) 451-4700
715 Delsea Dr N
Glassboro, NJ 08028-1435
Phone (856) 451-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017014499 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Single Specialty | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| GPS Physician Group of New Jersey, PC | Single Specialty | Current | Accepting new patients |
| Advanced Spine and Pain LLC | Single Specialty | Past | Accepting new patients |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Advanced Spine and Pain, LLC | Single Specialty | Past | Accepting new patients |
Locations
30 N Pearl St
Bridgeton, NJ 08302
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600
249 High St
Newton, NJ 07860
Phone (855) 699-6312
843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627
1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090
3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258
Interoperability endpoints
- danielle.scott.p1@direct.cchn.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Single Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Voorhees, NJ
- NPI 1548776008
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Interventional Pain Medicine Physician
- Hammonton, NJ
- NPI 1730359084
Single Specialty
-
- Pain Medicine Physician
- Egg Harbor Township, NJ
- NPI 1447885116
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1063715332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1801312152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 GAYLORD CIR",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080463305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 GAYLORD CIR",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080463305",
"telephone_number": "609-346-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "AGPCNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "2017014499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.