Active NPIIndividual provider

Dr. Ita Scolnick, MD

Pediatrics in Randolph, New Jersey

NPI Number1194768580
Practice location
447 Route 10 East, Suite 16, Randolph, NJ 07869
Fax
973-361-3419
Last updated
September 15, 2008

Ita Scolnick is a Pediatrics based in Randolph, NJ. Ita Scolnick practices in Randolph, NJ and has the professional credentials of MD. The NPI Number for Ita Scolnick is 1194768580 and holds a License No. MA043655 (NJ). The current practice location address for Ita Scolnick is 447 Route 10 East, Suite 16, Randolph, NJ 07869 and can be reached out via phone at 973-361-2860 and via fax at 973-361-3419.

Provider Profile Details

NPI Number
1194768580
Provider Name
Ita Scolnick
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
447 Route 10 East, Suite 16, Randolph, NJ 07869
Phone Number
973-361-2860
Fax Number
973-361-3419
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2006
Last Update Date
September 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
447 Route 10 East
Suite 16
Randolph, NJ 07869
Zip
07869
Phone Number
973-361-2860
Fax Number
973-361-3419
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
447 Route 10 East
Suite 16
Randolph, NJ 07869
City
Randolph
State
NJ
Zip
07869
Phone Number
973-361-2860
Fax Number
973-361-3419

License Information

License Number
MA043655
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ita Scolnick, MD?

The NPI number of Dr. Ita Scolnick, MD is 1194768580. It was assigned on June 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ita Scolnick, MD?

Dr. Ita Scolnick, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA043655.

Where does Dr. Ita Scolnick, MD practice?

The practice location is 447 Route 10 East, Suite 16, Randolph, NJ 07869. The office can be reached at 973-361-2860 (phone) or 973-361-3419 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194768580 directly on the NPPES registry website.

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