Physician Compare National (NPI:1669535829)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669535829
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931237468
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100504000613
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCOTTI
	Individual professional last name
Provider First Name	ANGELO
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1965
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INFECTIOUS DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INFECTIOUS DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	180 WHITE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 211
	Group Practice or individual's line 2 address
City	LITTLE SILVER
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077391166
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7327474007
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310034
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIVERVIEW MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310073
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JERSEY SHORE UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310112
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYSHORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310075
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MONMOUTH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	310052
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	OCEAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1669535829)

HEALTHCARE PROVIDER:

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information