Healthcare Provider Details

I. General information

NPI: 1972549780
Provider Name (Legal Business Name): WEST SCHARF CONTE BASTIANELLI PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 CHESTNUT ST
ROSELLE PARK NJ
07204-1927
US

IV. Provider business mailing address

505 CHESTNUT ST
ROSELLE PARK NJ
07204-1918
US

V. Phone/Fax

Practice location:
  • Phone: 908-241-0200
  • Fax: 908-241-1615
Mailing address:
  • Phone: 908-241-0200
  • Fax: 908-241-1615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. RICHARD C. SCHARF
Title or Position: DOCTOR
Credential: D.O.
Phone: 908-241-0200