Provider Demographics
NPI:1851409940
Name:SCARPELLI, JOSEPH P (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:SCARPELLI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3141
Mailing Address - Country:US
Mailing Address - Phone:973-235-0703
Mailing Address - Fax:973-235-0704
Practice Address - Street 1:80 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3141
Practice Address - Country:US
Practice Address - Phone:973-235-0703
Practice Address - Fax:973-235-0704
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC02705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSC183304Medicare ID - Type Unspecified