RAYMOND SCARPA APRN
NPI 1720204589
Clinical Nurse Specialist - Oncology in Newark, NJ

NPI Status: Active since April 18, 2007

Contact Information

90 BERGEN ST
NEWARK, NJ
ZIP 07103
Phone: (973) 972-1923

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  • Individual
  • Male
  • Clinical Nurse Specialist
  • Oncology
  • PECOS Enrolled

About RAYMOND SCARPA

This page provides the complete NPI Profile along with additional information for Raymond Scarpa, a provider established in Newark, New Jersey with a medical specialization in Clinical Nurse Specialist, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1720204589 assigned on April 2007. The practitioner's primary taxonomy code is 364SX0200X with license number 26NC0744022700 (NJ). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1720204589
Provider Name
RAYMOND SCARPA APRN
Gender
Male
Entity Type
Individual
Location Address
90 BERGEN ST NEWARK, NJ 07103
Location Phone
(973) 972-1923
Mailing Address
34 MADISON AVE FLEMINGTON, NJ 08822
Mailing Phone
(973) 972-1923
Is Sole Proprietor?
Yes
Enumeration Date
04-18-2007
Last Update Date
07-08-2007
Code Navigator

A Clinical Nurse Specialist (CNS) like Raymond Scarpa is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Oncology

Taxonomy Code
364SX0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
26NC0744022700
License State
NJ

Medicare Participation & PECOS Enrollment Status

Raymond Scarpa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Sterile water, saline and/or dextrose, diluent/flush, 10 ml (HCPCS:A4216)

    2 DME suppliers used 12 Medicare Claims 720 Services Paid

  • DME-Other DME (DE000N)

    Tracheal suction catheter, any type other than closed system, each (HCPCS:A4624)

    2 DME suppliers used 13 Medicare Claims 750 Services Paid

  • DME-Other DME (DE000N)

    Oropharyngeal suction catheter, each (HCPCS:A4628)

    2 DME suppliers used 11 Medicare Claims 92 Services Paid

  • DME-Other DME (DE000N)

    Canister, disposable, used with suction pump, each (HCPCS:A7000)

    3 DME suppliers used 13 Medicare Claims 56 Services Paid

  • DME-Other DME (DE000N)

    Tubing, used with suction pump, each (HCPCS:A7002)

    2 DME suppliers used 13 Medicare Claims 26 Services Paid

  • DME-Other DME (DE000N)

    Large volume nebulizer, disposable, unfilled, used with aerosol compressor (HCPCS:A7007)

    3 DME suppliers used 13 Medicare Claims 28 Services Paid

  • DME-Other DME (DE000N)

    Water collection device, used with large volume nebulizer (HCPCS:A7012)

    2 DME suppliers used 12 Medicare Claims 24 Services Paid

  • DME-Other DME (DE000N)

    Compressor, air power source for equipment which is not self-contained or cylinder driven (HCPCS:E0565)

    3 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Other DME (DE000N)

    Respiratory suction pump, home model, portable or stationary, electric (HCPCS:E0600)

    3 DME suppliers used 23 Medicare Claims 23 Services Paid

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Tracheostomy, inner cannula (HCPCS:A4623)

    3 DME suppliers used 21 Medicare Claims 1087 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy care kit for established tracheostomy (HCPCS:A4629)

    2 DME suppliers used 13 Medicare Claims 392 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy mask, each (HCPCS:A7525)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy tube collar/holder, each (HCPCS:A7526)

    3 DME suppliers used 15 Medicare Claims 166 Services Paid

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)

    4 DME suppliers used 37 Medicare Claims 1094 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4153)

    2 DME suppliers used 20 Medicare Claims 13140 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 07103 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.86
  • Minimum New Patient Price $63.84
  • Maximum New Patient Price $190.92
  • Average New Patient Copayment $36.21
  • Minimum New Patient Copayment $15.96
  • Maximum New Patient Copayment $47.73

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.57
  • Minimum Established Patient Price $20.97
  • Maximum Established Patient Price $155.92
  • Average Established Patient Copayment $27.89
  • Minimum Established Patient Copayment $5.24
  • Maximum Established Patient Copayment $38.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720204589, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 4 + 0 + 8 + 5 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1720204589.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
90 BERGEN ST, SUITE 5400
NEWARK, NJ 07103
Surgery (Plastic and Reconstructive Surgery)
90 BERGEN ST, DOC 7200
NEWARK, NJ 07103
Dentist (General Practice)
90 BERGEN ST, ST 7700
NEWARK, NJ 07103
Dentist (Prosthodontics)
90 BERGEN ST
NEWARK, NJ 07103
Neurological Surgery
90 BERGEN ST, DOC 8100
NEWARK, NJ 07103
Urology
90 BERGEN ST, DOC 2300
NEWARK, NJ 07103
Ophthalmology
90 BERGEN ST, DOC 6100
NEWARK, NJ 07103
Colon & Rectal Surgery
90 BERGEN ST, DOC 7100
NEWARK, NJ 07103
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103
Internal Medicine (Geriatric Medicine)
90 BERGEN ST, DOC 4400
NEWARK, NJ 07103
Surgery
90 BERGEN ST, DOC 7100
NEWARK, NJ 07103
Transplant Surgery
90 BERGEN ST, DOC 7100
NEWARK, NJ 07103
Physical Medicine & Rehabilitation (Pain Medicine)
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103
Psychiatry & Neurology (Neurology)
90 BERGEN ST, DOC 8100
NEWARK, NJ 07103
Surgery (Surgical Oncology)
90 BERGEN ST, DOC 7100
NEWARK, NJ 07103
Podiatrist (Foot & Ankle Surgery)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Radiology (Diagnostic Radiology)
90 BERGEN ST, DOC 1700 & 1500
NEWARK, NJ 07103
Psychiatry & Neurology (Neurology)
90 BERGEN ST, DOC 8100
NEWARK, NJ 07103
Emergency Medicine
90 BERGEN ST, ER DEPARTMENT
NEWARK, NJ 07103
Pharmacy (Community/Retail Pharmacy)
90 BERGEN ST, SUITE 1600
NEWARK, NJ 07103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720204589, enumerated as an "individual" on April 18, 2007.

The provider is located at 90 BERGEN ST NEWARK, NJ 07103 and the phone number is (973) 972-1923.

Clinical Nurse Specialist with taxonomy code 364SX0200X and a focus in Oncology.