NPIMap

Individual provider Active NPI

Daniel M. Scotti, M.D.

  • Vascular & Interventional Radiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1801809173
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA0323500 Issued in NJ
Practice address
2201 Chapel Ave W
Attn: Radiology Department
Cherry Hill, NJ 08002-2048
Phone
(856) 661-5473
Fax
(856) 661-5470
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 25MA0323500 NJ
Neuroradiology Physician 2085N0700X 25MA0323500 NJ
Nuclear Radiology Physician 2085N0904X 25MA0323500 NJ
Diagnostic Radiology Physician 2085R0202X 25MA0323500 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA0323500 NJ Primary
Diagnostic Ultrasound Physician 2085U0001X 25MA0323500 NJ

Addresses

Primary practice location

2201 Chapel Ave W
Attn: Radiology Department
Cherry Hill, NJ 08002-2048

Mailing address

335 Garden Park Blvd
Cherry Hill, NJ 08002-4248
Phone (856) 577-4844

Other names 1

  • Daniel M. Scaricaciottoli Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA0323500NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Imaging Associates PA Diagnostic Radiology Past Accepting new patients
South Jersey Vascular Intitute LLC Vascular & Interventional Radiology Past Accepting new patients

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1801809173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GARDEN PARK BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024248",
            "telephone_number": "856-577-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-661-5473",
            "fax_number": "856-661-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTI",
        "first_name": "DANIEL",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NJ",
            "license": "25MA0323500",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NJ",
            "license": "25MA0323500",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NJ",
            "license": "25MA0323500",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA0323500",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA0323500",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA0323500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "SCARICACIOTTOLI",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.