Individual provider Active NPI

Leticia Scandroglio, NP

  • Family Nurse Practitioner
  • Union, NJ
National Provider Identifier
1952125346
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15201500 Issued in NJ
Practice address
1100 Caldwell Ave
Union, NJ 07083-5816
Phone
(908) 275-7273
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15201500 NJ Primary

Addresses

Primary practice location

1100 Caldwell Ave
Union, NJ 07083-5816

Mailing address

1100 Caldwell Ave
Union, NJ 07083-5816
Phone (908) 275-7273

Other identifiers 1

IdentifierTypeStateIssuer
26NJ15201500OtherNJAPN LICENSE

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
I20250103000840 NJ Practitioner - Nurse Practitioner 0446788434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

43 N White Horse Pike
Hammonton, NJ 08037-1875
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15201500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Jan 12, 2025 Accepting new patients
Vitalpoint Healthpc CurrentSince Aug 9, 2025 Accepting new patients
Infinite Medical PC CurrentSince Oct 24, 2024 Accepting new patients

Locations

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

831 Bedford Ave
Brooklyn, NY 11205

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 3

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1952125346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CALDWELL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835816",
            "telephone_number": "908-275-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CALDWELL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835816",
            "telephone_number": "908-275-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANDROGLIO",
        "first_name": "LETICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15201500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "26NJ15201500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.