Individual provider Active NPI

Danielle Scott, AGPCNP

  • Gerontology Nurse Practitioner
  • Willingboro, NJ
National Provider Identifier
1801312152
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2017014499 Issued in NJ
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

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208001850 NJ Practitioner - Nurse Practitioner 3779840251 Reassigns benefits to 2 organizations

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
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

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

LicenseStateTypeSpecialty
2017014499NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Single Specialty CurrentSince Nov 11, 2021 Accepting new patients
Community Health Care, Inc. CurrentSince Nov 11, 2021 Accepting new patients
GPS Physician Group of New Jersey, PC Single Specialty CurrentSince Jan 1, 2018 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 PastSince Feb 12, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.