Individual provider Active NPI

Nathalie Scarpa, DMD

  • General Practice Dentistry
  • Paterson, NJ
National Provider Identifier
1992786826
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI01781400 Issued in NJ
Practice address
21 Market St
Paterson, NJ 07501-1723
Phone
(973) 754-4250
Fax
(973) 754-4259
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI01781400 NJ Primary

Addresses

Primary practice location

21 Market St
Paterson, NJ 07501-1723

Mailing address

21 Market St
Paterson, NJ 07501-1723
Phone (973) 754-4250

Other identifiers 3

IdentifierTypeStateIssuer
5471702MedicaidNJ
14836MedicaidNJ
D0000076000MedicaidNJ

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630002515 NJ Order and Referring Only - DentistPractitioner - Dentist 7618289802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI01781400NJMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1992786826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011723",
            "telephone_number": "973-754-4250",
            "fax_number": "973-754-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011723",
            "telephone_number": "973-754-4250",
            "fax_number": "973-754-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPA",
        "first_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01781400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5471702",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14836",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0000076000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.