THOMAS SCUDERI MDPA NPI 1154583904

NPI Information

  • NPI: 1154583904
  • Provider Name: THOMAS SCUDERI MD,PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 80 HAZLET AVE
    SUITE 10
    HAZLET, NJ
    ZIP 07730
  • Phone: (732) 264-0400

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NPI Details

THOMAS SCUDERI MD,PA is a primary care clinic center in Hazlet, NJ. THOMAS SCUDERI MD,PA NPI is 1154583904. The provider is registered as an organization entity type.

The provider's business location address is:

80 HAZLET AVE
SUITE 10
HAZLET, NJ
ZIP 07730-623
Phone: (732) 264-0400
Fax: (732) 264-1149

The provider's authorized official is Thomas Scuderi .
The authorized official title is Owner and has the following contact phone number (732) 264-0400.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 7/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareMA02982800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1449677MEDICARE PIN
22947609MEDICAIDNEW JERSEY
3C54970MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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