Individual provider Active NPI

Amanda Rose Scelfo, AGPCNP-BC

  • Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1962971564
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00878600 Issued in NJ
Practice address
741 Northfield Ave Ste 205
West Orange, NJ 07052-1104
Phone
(973) 467-1544
Fax
(973) 467-9586
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00878600 NJ Primary

Addresses

Primary practice location

741 Northfield Ave Ste 205
West Orange, NJ 07052-1104

Mailing address

741 Northfield Ave Ste 205
West Orange, NJ 07052-1104
Phone (973) 467-1544

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
I20221123000739 NJ Practitioner - Nurse Practitioner 9234507237 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Oct 1, 2022 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Oct 1, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 31, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 31, 2025 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

741 Northfield Ave
Ste 205
West Orange, NJ 07052
Phone (973) 467-1544

Interoperability endpoints

  • Direct secure messaging: ascelfo230191@epicdirect.rwjbh.org
  • Direct secure messaging: ascelfo782415@ahs.direct-ci.com

Organizations & group practices 4

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1962971564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE STE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521104",
            "telephone_number": "973-467-1544",
            "fax_number": "973-467-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NORTHFIELD AVE STE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521104",
            "telephone_number": "973-467-1544",
            "fax_number": "973-467-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCELFO",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00878600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.