Mr. Scott C Masullo Sr., NP
Nurse Practitioner, Family in Bloomfield, New Jersey
1568189322- Practice location
- 382 W Passaic Ave, Bloomfield, NJ 07003-5554
- Phone
- 973-338-1900
- Fax
- —
- Last updated
- October 24, 2022
Scott Carmine Masullo is a Nurse Practitioner, Family based in Bloomfield, NJ. Scott Carmine Masullo practices in Bloomfield, NJ and has the professional credentials of NP. The NPI Number for Scott Carmine Masullo is 1568189322 and holds a License No. 26nj01370400 (NJ). The current practice location address for Scott Carmine Masullo is 382 W Passaic Ave, Bloomfield, NJ 07003-5554 and can be reached out via phone at 973-338-1900.
Provider Profile Details
- NPI Number
- 1568189322
- Provider Name
- Scott Carmine Masullo
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 382 W Passaic Ave, Bloomfield, NJ 07003-5554
- Phone Number
- 973-338-1900
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2022
- Last Update Date
- October 24, 2022
- Certification Date
- October 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 382 W Passaic Ave
Bloomfield, NJ 07003-5554 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-5554
- Phone Number
- 973-338-1900
Provider Business Mailing Address Details
- Address
- 154 Watchung Pl
Nutley, NJ 07110-2031 - City
- Nutley
- State
- NJ
- Zip
- 07110-2031
- Phone Number
- 973-943-7333
License Information
- License Number
- 26nj01370400
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Scott C Masullo Sr., NP?
The NPI number of Mr. Scott C Masullo Sr., NP is 1568189322. It was assigned on October 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Scott C Masullo Sr., NP?
Mr. Scott C Masullo Sr., NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26nj01370400.
Where does Mr. Scott C Masullo Sr., NP practice?
The practice location is 382 W Passaic Ave, Bloomfield, NJ 07003-5554. The office can be reached at 973-338-1900 (phone).
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 1568189322 directly on the NPPES registry website.