Healthcare Provider Details

I. General information

NPI: 1033191929
Provider Name (Legal Business Name): LOUIS J SCURTI PH.D., ED.S., M.DIV.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 GLENWOOD AVE APT 1
JERSEY CITY NJ
07306-4625
US

IV. Provider business mailing address

PO BOX 7994
HALEDON NJ
07538
US

V. Phone/Fax

Practice location:
  • Phone: 973-981-5003
  • Fax:
Mailing address:
  • Phone: 973-981-5003
  • Fax: 973-595-5312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT2060
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37F100150400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: