Provider Demographics
NPI:1437207008
Name:ARTHRITIS CENTER OF NEW JERSEY, LLC
Entity type:Organization
Organization Name:ARTHRITIS CENTER OF NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCARPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-216-3050
Mailing Address - Street 1:PO BOX 744
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-0744
Mailing Address - Country:US
Mailing Address - Phone:201-216-3050
Mailing Address - Fax:201-499-0254
Practice Address - Street 1:600 PAVONIA AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2929
Practice Address - Country:US
Practice Address - Phone:201-216-3050
Practice Address - Fax:201-499-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA39323207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD20005Medicare UPIN
NJC54292Medicare UPIN
NJ091962PJ8Medicare ID - Type Unspecified
NH537214PJ8Medicare ID - Type Unspecified